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Vermont 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
$803.20 / $803.20 / $926.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,209.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $938.34 / $969.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,209.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $941.33 / $969.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.32 / $1,236.93 / $1,902.78