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Wyoming 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
$194.53 / $194.53 / $304.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.24 / $339.24 / $339.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.24 / $339.24 / $339.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.25 / $192.25 / $376.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $140.34 / $192.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.72 / $153.49 / $170.40