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Massachusetts rates for HCPCS L1290

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

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 / $44.39 / $55.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $268.33 / $560.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $68.06 / $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 / $60.55 / $66.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $60.55 / $108.38
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
$60.57 / $60.57 / $60.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.27 / $560.79 / $560.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $47.44 / $92.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.06 / $118.06 / $118.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.14 / $50.83 / $88.55