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Massachusetts rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.54 / $1,644.54 / $1,644.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.54 / $1,829.37 / $2,410.63
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,487.57 / $7,828.35 / $17,957.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.53 / $2,693.89 / $3,675.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,109.75 / $4,860.35 / $6,259.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,464.63 / $2,901.66 / $2,901.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $2,766.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,326.75 / $4,470.75
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
$3,047.47 / $3,047.47 / $3,199.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.55 / $2,288.55 / $2,288.55
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,828.35 / $17,957.82 / $17,957.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.22 / $1,877.77 / $3,675.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.62 / $2,011.94 / $3,675.70