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Vermont rates for HCPCS L1230

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

Facilitymedian $398 · 10th–90th $295–$5250%20%40%10th90th$398Professionalmedian $355 · 10th–90th $263–$5370%10%20%10th90th$355$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $354.81 / $537.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $398.11
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $316.23 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $489.78 / $831.76