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Massachusetts 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
$146.53 / $146.53 / $146.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.53 / $162.24 / $214.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.74 / $825.53 / $1,603.51
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.29 / $254.51 / $327.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.78 / $226.78 / $246.98
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 / $398.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.52 / $271.52 / $285.10
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.64 / $184.64 / $184.64
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.51 / $1,603.51 / $1,603.51
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.27 / $167.30 / $327.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.09 / $182.57 / $327.50