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Michigan rates for HCPCS L1050

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

Facilitymedian $129 · 10th–90th $59–$4900%20%10th90th$129Professionalmedian $59 · 10th–90th $45–$1200%20%10th90th$59$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $57.54 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $363.08 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $125.89
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $72.44 / $114.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $229.09 / $257.04
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $95.50 / $147.91
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $77.62 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $97.72 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $56.23 / $81.28