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Nationwide rates for HCPCS L0622

Sacroiliac Orthosis 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
$162.97 / $165.52 / $202.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.10 / $168.23 / $235.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.75 / $365.20 / $586.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.86 / $177.26 / $263.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.86 / $181.86 / $181.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.76 / $181.86 / $203.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.64 / $143.90 / $189.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $153.94 / $242.00