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Missouri 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
$178.98 / $178.98 / $238.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.61 / $185.49 / $256.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.89 / $358.98 / $1,578.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.16 / $183.63 / $392.29
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 / $198.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.98 / $284.93 / $1,603.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.17 / $170.56 / $415.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.17 / $170.56 / $259.61