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Massachusetts rates for HCPCS L1250

Addi To Thoracic-Lumbar-Sacral Orthotic (Tlso), (Low Profile), A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.53 / $41.53 / $41.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.53 / $46.20 / $56.37
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.39 / $193.44 / $439.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.11 / $64.40 / $92.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.88 / $122.73 / $158.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.23 / $78.73 / $78.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.97 / $61.62 / $66.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.98 / $61.62 / $110.63
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
$76.95 / $76.95 / $80.80
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.37 / $57.37 / $57.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.44 / $439.47 / $439.47
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.84 / $47.41 / $92.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $47.41 / $81.39