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New York rates for HCPCS L1120

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

Facilitymedian $35 · 10th–90th $5$810%10%10th90th$35Professionalmedian $26 · 10th–90th $19$620%20%40%10th90th$26$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$15.14 / $36.31 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.99 / $34.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.92 / $69.18
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $37.15 / $37.15
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $53.70
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $173.78
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $45.71 / $87.10
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $4.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $26.92 / $28.84
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $43.65 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $26.30 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $29.51 / $75.86
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $25.70 / $26.92
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $26.92 / $28.84