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Tennessee 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
$155.41 / $155.41 / $169.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.94 / $160.31 / $271.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.84 / $310.92 / $310.92
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.38 / $1,603.51 / $1,603.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.95 / $1,729.95 / $2,515.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $168.76 / $231.21