go back

Massachusetts rates for HCPCS L4000

Replace Girdle For Spinal Orthotic (Cervic-Thoracic-Lumbar-Sacor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$752.31 / $752.31 / $752.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.31 / $752.31 / $1,003.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $2,611.23 / $9,097.53
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.59 / $1,136.57 / $1,681.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,827.54 / $2,223.42 / $2,863.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $995.93 / $1,207.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $1,845.75
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
$1,394.09 / $1,394.09 / $1,463.79
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.74 / $933.74 / $933.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,232.02 / $9,097.53 / $9,097.53
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.19 / $859.00 / $1,681.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.27 / $957.27 / $957.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.70 / $859.00 / $1,436.45