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Massachusetts rates for HCPCS L1000

Cervical-thoracic-lumbar-sacral orthosis (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $3,162.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,090.30 / $14,454.40
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,089.30 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,715.35 / $5,011.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,659.59 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,584.89
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
$2,511.89 / $2,511.89 / $3,801.89
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $3,090.30 / $14,454.40
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,187.76 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1,479.11 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,548.82 / $2,511.89