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Maine rates for HCPCS L0636

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.50 / $1,077.33 / $1,077.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.59 / $2,045.21 / $3,791.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.78 / $1,018.72 / $1,018.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.36 / $1,030.36 / $1,030.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.17 / $752.17 / $1,030.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.05 / $1,437.05 / $1,437.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.38 / $1,077.33 / $1,077.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.63 / $981.80 / $2,036.32