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Washington, DC rates for HCPCS L0113

Cranial Cervical Orthosis Torticollis Type With Or Without Joint With Or

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.26 / $137.26 / $137.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.26 / $137.26 / $137.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.22 / $214.22 / $229.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $140.34 / $140.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $665.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.54 / $167.30 / $251.37