go back

Idaho rates for HCPCS L0113

Cranial Cervical Orthosis Torticollis Type With Or Without Joint With Or

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.13 / $305.06 / $305.06
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 / $198.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.04 / $294.64 / $348.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.55 / $330.97 / $348.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $260.27 / $313.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.06 / $340.22 / $510.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.87 / $243.87 / $365.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.91 / $153.49 / $261.83