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Massachusetts rates for HCPCS L0460

Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.77 / $515.77 / $515.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.77 / $558.36 / $756.08
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.17 / $3,362.72 / $5,632.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.43 / $876.93 / $1,152.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.93 / $1,524.35 / $1,963.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.98 / $772.98 / $851.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.63 / $944.53 / $944.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.51 / $944.53 / $1,402.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.77 / $955.77 / $1,003.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.81 / $737.81 / $737.81
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455.26 / $5,632.19 / $5,632.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.20 / $588.91 / $1,152.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.12 / $588.91 / $1,152.80