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New York rates for HCPCS L1230

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

Facilitymedian $537 · 10th–90th $355–$1,5850%20%10th90th$537Professionalmedian $389 · 10th–90th $295–$1,0960%20%40%10th90th$389$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
$288.40 / $691.83 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $354.81 / $537.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,737.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $389.05 / $1,202.26
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $707.95 / $707.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $933.25
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,445.44 / $3,311.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $870.96 / $1,659.59
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $380.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $512.86 / $549.54
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $831.76 / $831.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $363.08 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $537.03 / $1,445.44
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $489.78 / $512.86
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $512.86 / $549.54