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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
$30.90 / $30.90 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $42.66 / $85.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $74.13 / $380.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $74.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $58.88 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $56.23
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
$63.10 / $63.10 / $95.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $74.13 / $380.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $54.95 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $40.74 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $42.66 / $63.10