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Ohio 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
$905.75 / $905.75 / $2,803.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.68 / $905.75 / $1,037.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.46 / $1,854.96 / $4,806.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.86 / $916.09 / $2,192.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,264.75 / $1,686.33 / $2,276.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.06 / $1,525.93 / $3,610.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,986.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $687.17 / $1,202.55
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $941.33
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $941.33 / $941.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.86 / $800.57 / $1,132.35