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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
$489.78 / $489.78 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $707.95 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $758.58
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,479.11 / $2,570.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $537.03 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $776.25 / $1,174.90