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Massachusetts rates for HCPCS L1030

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.31 / $31.31 / $31.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.31 / $34.51 / $51.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.38 / $191.51 / $377.30
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $54.57 / $69.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.45 / $41.45 / $123.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.93 / $59.36 / $59.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.45 / $52.68 / $52.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.65 / $52.95 / $109.50
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
$58.03 / $58.03 / $60.93
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.53 / $46.53 / $46.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.51 / $377.30 / $377.30
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.55 / $38.31 / $69.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.62 / $38.31 / $69.98