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Maine 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
Professional
Modifier
Low / Median / High Price
$154.88 / $194.98 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $398.11 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $190.55
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $354.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $190.55 / $323.59