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Massachusetts rates for HCPCS L1280

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), rib gusset (elastic), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.62 / $56.62 / $56.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.11 / $56.62 / $72.95
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.06 / $243.52 / $615.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.47 / $81.06 / $126.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.95 / $74.95 / $222.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $107.35 / $107.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.27 / $74.95 / $90.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $73.27 / $121.88
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
$104.92 / $104.92 / $110.17
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.08 / $63.08 / $63.08
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.72 / $615.54 / $615.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $64.65 / $126.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.10 / $64.65 / $104.92