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Oklahoma 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
$163.34 / $163.34 / $163.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.29 / $163.34 / $184.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.48 / $302.48 / $302.48
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 / $192.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.04 / $207.48 / $1,603.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $165.14 / $349.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $155.77 / $231.21