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Massachusetts rates for HCPCS L1100

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, ring flange, plastic or leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $104.71 / $208.93
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $223.87 / $1,122.02
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $158.49 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $169.82 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $125.89 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $125.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $288.40
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $223.87 / $1,122.02
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $165.96 / $223.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $114.82 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $117.49 / $190.55