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Massachusetts rates for HCPCS L1040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.40 / $38.40 / $38.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $46.08 / $57.60
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.38 / $216.84 / $556.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.38 / $66.92 / $85.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.84 / $50.84 / $150.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.56 / $72.81 / $72.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.84 / $64.59 / $66.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.75 / $66.78 / $123.75
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
$71.17 / $71.17 / $74.73
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.54 / $56.54 / $56.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.84 / $556.61 / $556.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.79 / $46.98 / $85.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.18 / $117.18 / $117.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.33 / $46.98 / $85.83