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Virginia 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
$137.26 / $165.81 / $165.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.26 / $165.81 / $184.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.36 / $335.36 / $356.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.63 / $183.63 / $244.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.22 / $214.22 / $229.25
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
$234.75 / $301.82 / $402.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.04 / $187.37 / $373.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.63 / $419.20 / $558.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.73 / $262.47 / $383.76
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.73 / $262.47 / $383.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.29 / $167.30 / $252.02