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Massachusetts rates for HCPCS L1240

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lumbar derotation pad

Facilitymedian $117 · 10th–90th $41$1740%20%10th90th$117Professionalmedian $62 · 10th–90th $41$1000%20%10th90th$62$0.1$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
$40.74 / $40.74 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $52.48 / $100.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $97.72 / $478.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $74.13 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $123.03 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $63.10 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $69.18
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
$83.18 / $83.18 / $125.89
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $97.72 / $478.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $74.13 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $52.48 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $66.07 / $85.11