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Vermont 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
$163.65 / $163.65 / $188.83
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 / $198.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $192.25 / $192.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $192.25 / $198.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.54 / $214.22 / $387.68