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Kansas 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
$283.12 / $283.12 / $283.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.04 / $185.49 / $283.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.63 / $277.82 / $294.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.75 / $275.75 / $275.75
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 / $497.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.04 / $275.54 / $1,603.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $170.56 / $436.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.04 / $170.56 / $238.50