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North Carolina 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
$302.50 / $302.50 / $521.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.49 / $302.50 / $302.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.74 / $512.45 / $631.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.52 / $259.10 / $276.38
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 / $192.25 / $398.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.04 / $302.50 / $393.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.63 / $259.63 / $259.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.40 / $568.25 / $618.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.04 / $170.81 / $249.91
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.25 / $1,603.51 / $1,603.51
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.95 / $2,515.19 / $2,515.19