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Massachusetts rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.80 / $128.80 / $128.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.80 / $141.97 / $185.18
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.09 / $607.39 / $1,866.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.64 / $224.46 / $287.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.51 / $170.51 / $506.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.03 / $243.66 / $243.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.51 / $190.69 / $206.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $190.69 / $341.63
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
$238.67 / $238.67 / $250.60
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.29 / $187.29 / $187.29
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.29 / $187.29 / $187.29
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.39 / $1,866.94 / $1,866.94
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.31 / $157.58 / $287.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.84 / $157.58 / $331.97