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Massachusetts rates for HCPCS L1110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.36 / $148.36 / $148.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.36 / $148.36 / $227.73
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.16 / $778.79 / $1,822.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.63 / $227.66 / $331.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.41 / $196.41 / $583.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.34 / $261.77 / $261.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.41 / $225.30 / $238.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.47 / $225.30 / $444.75
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
$274.93 / $274.93 / $288.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.18 / $196.18 / $196.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.79 / $1,822.29 / $1,822.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.62 / $169.40 / $331.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.64 / $383.64 / $383.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.34 / $169.40 / $287.73