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Minnesota 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
$239.88 / $239.88 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $181.97 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $346.74 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $457.09 / $501.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,230.27 / $2,398.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $537.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $346.74 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $154.88 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $151.36 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $169.82 / $426.58