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Wyoming 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
$954.70 / $954.70 / $1,492.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.87 / $1,664.87 / $1,664.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,664.87 / $1,664.87 / $1,664.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.33 / $941.33 / $1,845.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.17 / $687.17 / $941.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.27 / $751.55 / $834.37