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New York 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 / $716.27 / $1,325.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.33 / $719.15 / $1,037.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.94 / $1,678.86 / $3,291.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.09 / $916.09 / $2,550.94
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.31 / $1,371.30 / $1,371.30
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.30 / $1,371.30 / $1,371.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $941.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $687.17 / $941.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.00 / $1,645.94 / $3,703.37
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.10 / $1,234.46 / $2,962.69
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.00 / $1,278.00 / $1,278.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.54 / $1,051.40 / $1,371.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $941.33 / $1,645.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $941.33 / $2,443.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.41 / $821.14 / $1,505.42
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.54 / $989.54 / $1,099.77
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.54 / $989.54 / $1,278.00