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West Virginia 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
$850.33 / $850.33 / $850.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.68 / $813.81 / $850.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.06 / $2,222.02 / $2,880.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.85 / $1,186.83 / $2,034.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,986.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $941.33 / $8,087.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.91 / $821.14 / $1,368.56