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Nebraska 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
$218.03 / $218.03 / $218.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.03 / $218.03 / $218.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.49 / $330.54 / $333.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $376.08 / $376.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.25 / $376.08 / $579.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.03 / $374.23 / $1,603.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.27 / $170.56 / $284.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.99 / $376.08 / $473.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.70 / $444.46 / $774.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.66 / $170.56 / $231.21