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Minnesota rates for HCPCS L0113

Cranial Cervical Orthosis Torticollis Type With Or Without Joint With Or

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.75 / $238.75 / $238.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.63 / $238.75 / $252.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.14 / $366.76 / $483.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.88 / $326.42 / $343.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $1,060.41 / $2,945.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.25 / $422.15 / $505.78
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.55 / $1,017.42 / $2,319.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.25 / $398.25 / $410.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.16 / $343.60 / $1,603.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $171.40 / $376.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $171.40 / $345.04