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New Hampshire rates for HCPCS L0629

Lumbar-sacral orthosis (LSO), flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to T-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $173.00 / $207.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $173.00 / $173.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.52 / $203.52 / $203.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.02 / $263.02 / $263.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.01 / $192.01 / $263.02