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Nationwide rates for HCPCS L0622

Sacroiliac orthosis (SO), flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $169.82 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $169.82 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $181.97 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $177.83 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $181.97 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $190.55 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $151.36 / $257.04