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Massachusetts rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $102.33 / $213.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $199.53 / $954.99
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $144.54 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $117.49 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $117.49
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $257.04
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $199.53 / $954.99
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $147.91 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $100.00 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $114.82 / $169.82