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Massachusetts rates for HCPCS L1000

Cervical-Thoracic-Lumbar-Sacral Orthosis (Ctlso) (Milwaukee) Inclusive Of Furnishing Initial Orthosis Including Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.99 / $1,260.99 / $1,260.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.75 / $1,260.99 / $1,625.04
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.31 / $4,818.13 / $14,485.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.27 / $1,809.74 / $2,818.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,063.22 / $3,726.76 / $4,799.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,078.79 / $2,224.89 / $2,224.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,499.97 / $1,669.35 / $2,023.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.98 / $1,499.97 / $2,832.38
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
$2,336.69 / $2,336.69 / $2,453.52
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.16 / $1,453.16 / $1,453.16
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,177.72 / $14,485.79 / $14,485.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.87 / $1,439.81 / $2,818.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.10 / $1,439.81 / $2,417.90