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Nevada 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
$491.01 / $491.01 / $566.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.35 / $491.01 / $575.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,437.82 / $1,437.82 / $1,437.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.48 / $656.78 / $1,437.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.81 / $711.81 / $1,058.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.62 / $711.81 / $762.07
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.55 / $1,150.26 / $1,869.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.24 / $537.98 / $896.64