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Massachusetts rates for HCPCS L1260

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.55 / $41.55 / $41.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $46.21 / $61.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.39 / $230.69 / $480.51
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.60 / $67.43 / $92.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.93 / $122.79 / $158.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.27 / $78.78 / $78.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.01 / $69.89 / $71.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $71.02 / $131.63
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
$77.00 / $77.00 / $80.84
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.08 / $60.08 / $60.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.69 / $480.51 / $480.51
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.43 / $47.44 / $92.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.63 / $63.54 / $80.84