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New York rates for HCPCS L1210

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

Facilitymedian $316 · 10th–90th $170$1,2300%10%20%10th90th$316Professionalmedian $182 · 10th–90th $135$5250%20%10th90th$182$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$131.83 / $316.23 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $154.88 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $616.60
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $331.13 / $331.13
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $389.05
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $660.69 / $1,548.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $398.11 / $758.58
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $251.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $251.19
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $316.23
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $380.19 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $169.82 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $257.04 / $660.69
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $251.19
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $239.88 / $251.19