go back

North Dakota rates for HCPCS L0112

Cranial Cervical Orthosis Congenital Torticollis Type With Or Without Soft Interface Material Adjustable Range Of Motion Joint Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.33 / $1,240.33 / $1,240.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.71 / $1,171.71 / $1,240.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.01 / $1,884.69 / $1,931.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,954.88 / $1,974.42 / $2,482.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.79 / $1,240.33 / $7,852.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.18 / $834.37 / $1,358.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $751.55 / $1,358.36