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New Jersey 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
$560.33 / $560.33 / $560.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.33 / $716.27 / $905.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,645.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $687.17 / $1,441.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,503.67 / $1,514.26 / $2,156.17
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.36 / $1,645.94 / $1,645.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.41 / $821.14 / $1,511.04