go back

Michigan 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
$194.98 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $181.97 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $1,023.29 / $1,995.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $346.74 / $363.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
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 / $190.55 / $398.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $645.65 / $724.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $416.87
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $275.42 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $257.04