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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $933.25 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $933.25 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,380.38