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Oklahoma 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
$801.63 / $801.63 / $1,181.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.94 / $801.63 / $903.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.50 / $1,484.50 / $1,484.50
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 / $941.33 / $941.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.19 / $1,018.23 / $7,852.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $808.08 / $1,676.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.04 / $751.55 / $1,078.20