go back

Massachusetts rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $19.55 / $19.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.55 / $21.75 / $28.43
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.70 / $126.25 / $283.39
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $34.07 / $43.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.88 / $25.88 / $76.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.30 / $34.47 / $34.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.88 / $29.64 / $31.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $21.64 / $53.25
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
$36.22 / $36.22 / $38.03
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.56 / $26.56 / $26.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.94 / $283.39 / $283.39
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $23.92 / $43.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $23.92 / $43.70