go back

Massachusetts rates for HCPCS L1050

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.99 / $40.99 / $40.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.99 / $45.59 / $64.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.50 / $245.41 / $594.08
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.65 / $71.42 / $91.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.25 / $54.25 / $161.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.42 / $77.70 / $77.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.25 / $68.94 / $71.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $71.68 / $140.25
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
$75.94 / $75.94 / $79.73
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.83 / $54.83 / $54.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.41 / $594.08 / $594.08
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.06 / $50.14 / $91.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.07 / $125.07 / $125.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.65 / $50.14 / $91.60