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Vermont rates for HCPCS L0113

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $181.97 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $190.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $331.13 / $407.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $251.19 / $691.83