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Massachusetts rates for HCPCS L0464

Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.75 / $763.75 / $763.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.07 / $841.84 / $1,119.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.30 / $4,450.35 / $8,339.85
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.73 / $1,298.52 / $1,707.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.64 / $2,257.23 / $2,906.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.60 / $1,144.60 / $1,270.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.20 / $1,162.20 / $1,433.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.41 / $1,162.20 / $2,076.38
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
$1,415.29 / $1,415.29 / $1,486.05
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.28 / $1,014.28 / $1,014.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,635.67 / $8,339.85 / $8,339.85
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.14 / $872.06 / $1,707.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.48 / $934.38 / $1,707.04