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Tennessee 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
$762.79 / $762.79 / $833.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.27 / $786.79 / $1,334.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,010.19 / $1,525.93 / $1,525.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.82 / $941.33 / $941.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $687.17 / $941.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,649.18 / $7,852.81 / $7,852.81
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,490.04 / $8,490.04 / $12,344.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.90 / $814.18 / $1,132.10