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Massachusetts rates for HCPCS L0113

Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $309.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $331.13 / $1,621.81
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $257.04 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $190.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $446.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $331.13 / $1,621.81
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $257.04 / $346.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $194.98 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $295.12