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New York rates for HCPCS L1050

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

Facilitymedian $72 · 10th–90th $30$1740%10%10th90th$72Professionalmedian $56 · 10th–90th $41$1290%20%40%10th90th$56$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$30.90 / $75.86 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $53.70 / $77.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $95.50 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $151.36
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $77.62 / $77.62
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $141.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $158.49 / $371.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $95.50 / $181.97
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $31.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $56.23 / $60.26
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $91.20 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $54.95 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $61.66 / $162.18
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $53.70 / $56.23
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $56.23 / $60.26