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New Mexico rates for HCPCS L0113

Cranial cervical orthosis, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment

Facilitymedian $219 · 10th–90th $105–$3550%10%10th90th$219Professionalmedian $170 · 10th–90th $141–$2570%20%10th90th$170$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $169.82 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $512.86
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $234.42 / $354.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $165.96 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $154.88 / $229.09