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Alaska rates for HCPCS L0113

Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $208.93 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $199.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $288.40 / $323.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $338.84 / $1,071.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $331.13 / $338.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $338.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $338.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $190.55 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $263.03 / $831.76