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Utah rates for HCPCS L0112

Cranial cervical orthosis, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated

Facilitymedian $933 · 10th–90th $490–$1,6980%20%40%10th90th$933Professionalmedian $955 · 10th–90th $490–$1,7380%10%10th90th$955$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $912.01 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $933.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $1,258.93 / $1,584.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,698.24 / $1,698.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,230.27 / $1,862.09
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,698.24 / $1,737.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,737.80 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $741.31 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $758.58 / $1,258.93