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Indiana 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
$170.07 / $170.07 / $343.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.53 / $171.09 / $184.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.44 / $307.52 / $343.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.16 / $183.63 / $687.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.10 / $377.96 / $515.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.06 / $377.96 / $463.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $192.25 / $343.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $192.25 / $352.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $166.07 / $253.13