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Massachusetts rates for HCPCS L1001

Cervical-thoracic-lumbar-sacral orthosis (CTLSO), immobilizer, infant size, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.00 / $57.00 / $57.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $57.00 / $60.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $818.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.47 / $443.47 / $570.39
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.00 / $770.00 / $770.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $100.00