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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
$160.31 / $203.55 / $203.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.27 / $386.44 / $716.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.63 / $196.33 / $196.33
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 / $140.34 / $192.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.52 / $271.52 / $271.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.83 / $203.55 / $203.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.54 / $167.30 / $384.74