go back

Massachusetts rates for HCPCS L1230

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), Milwaukee type superstructure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.63 / $314.63 / $314.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.63 / $314.63 / $431.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.82 / $1,360.16 / $3,405.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.10 / $506.72 / $703.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.52 / $416.52 / $1,237.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.53 / $555.54 / $555.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.16 / $416.52 / $504.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.12 / $400.16 / $931.88
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
$583.02 / $583.02 / $612.16
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.88 / $406.88 / $406.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,631.67 / $3,405.00 / $3,405.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.25 / $359.24 / $703.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.88 / $853.88 / $853.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.14 / $359.24 / $810.93