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Massachusetts rates for HCPCS L1230

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

Facilitymedian $417 · 10th–90th $316–$2,1380%20%10th90th$417Professionalmedian $437 · 10th–90th $295–$7080%20%10th90th$437$1.0$10.0$100.0$1.0K$10.0K

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
$316.23 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $354.81 / $575.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $707.95 / $3,467.37
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $562.34 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $416.87 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $501.19
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $954.99
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $707.95 / $3,467.37
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $562.34 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $363.08 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $489.78 / $660.69