go back

Massachusetts rates for HCPCS L1025

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, kyphosis pad, floating

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.92 / $65.92 / $65.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.92 / $65.92 / $100.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.29 / $380.24 / $830.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.64 / $108.00 / $147.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.26 / $87.26 / $259.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $116.32 / $116.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.26 / $89.11 / $105.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.05 / $89.11 / $217.13
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
$122.16 / $122.16 / $128.27
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.87 / $90.87 / $90.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.24 / $830.82 / $830.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.44 / $75.59 / $147.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.40 / $80.64 / $147.33