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Oregon rates for HCPCS L0113

Cranial Cervical Orthosis Torticollis Type With Or Without Joint With Or

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.02 / $208.99 / $235.11
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 / $140.34 / $192.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.87 / $651.97 / $850.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.99 / $305.36 / $348.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.49 / $330.97 / $365.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.24 / $347.38 / $383.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $305.06 / $365.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $305.06 / $383.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.26 / $579.36 / $1,222.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.62 / $383.23 / $383.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.65 / $153.49 / $300.45