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Massachusetts rates for HCPCS L1090

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.12 / $45.12 / $45.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.12 / $47.41 / $65.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.39 / $246.12 / $654.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $78.63 / $100.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.73 / $59.73 / $177.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.62 / $79.62 / $79.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.73 / $75.47 / $75.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.09 / $75.47 / $140.63
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
$83.61 / $83.61 / $87.79
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.61 / $65.61 / $65.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.12 / $654.03 / $654.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.70 / $55.20 / $100.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.93 / $55.20 / $100.85