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Nevada 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
Facility
Modifier
Low / Median / High Price
$726.88 / $726.88 / $838.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.37 / $726.88 / $851.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.51 / $2,128.51 / $2,128.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.78 / $970.78 / $2,128.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.36 / $1,030.36 / $1,566.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.17 / $752.17 / $1,231.84
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.64 / $1,702.81 / $2,767.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.59 / $796.42 / $1,327.36