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Louisiana rates for HCPCS L0635

Lumbar-sacral orthosis (LSO), sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.73 / $687.59 / $926.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.13 / $687.59 / $747.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.15 / $1,782.06 / $2,504.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.40 / $850.91 / $850.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.81 / $711.81 / $711.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.62 / $711.81 / $711.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $552.82 / $829.02