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Mississippi 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
$193.60 / $193.60 / $308.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.74 / $220.83 / $308.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.70 / $267.70 / $267.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.70 / $267.70 / $267.70
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $164.01 / $257.27