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North Dakota 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
$252.74 / $252.74 / $252.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.75 / $238.75 / $252.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.80 / $384.03 / $393.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.25 / $402.23 / $505.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.31 / $268.29 / $1,603.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.38 / $173.30 / $280.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $173.30 / $365.15