go back

Louisiana 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
$186.70 / $198.19 / $266.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.06 / $192.01 / $215.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.67 / $513.65 / $722.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.05 / $245.27 / $245.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $192.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $164.00 / $254.15