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Georgia 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
$164.06 / $164.06 / $389.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.41 / $184.78 / $260.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.47 / $483.66 / $1,267.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.74 / $278.29 / $593.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.06 / $293.64 / $639.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.64 / $293.64 / $293.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $192.25 / $192.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $192.25 / $364.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.56 / $345.47 / $480.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.56 / $587.29 / $651.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $172.35 / $298.57