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Massachusetts rates for HCPCS L4000

Replace girdle for spinal orthosis (cervical-thoracic-lumbar-sacral orthosis (CTLSO) or spinal orthosis SO)

Facilitymedian $2,138 · 10th–90th $759$3,0900%20%10th90th$2,138Professionalmedian $977 · 10th–90th $661$1,6980%20%10th90th$977$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
$758.58 / $758.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $794.33 / $1,318.26
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,778.28 / $7,585.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,348.96 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,238.72 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,000.00 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,047.13
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
$1,513.56 / $1,513.56 / $2,290.87
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,778.28 / $7,585.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,348.96 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $851.14 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,096.48 / $1,513.56