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Mississippi 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 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
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 / $141.25 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $275.42 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $165.96 / $251.19