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Nationwide rates for HCPCS L0638

Lumbar-Sacral Orthosis Sagittal-Coronal Control With Rigid Anterior And Posterior Frame/Panels 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 Shoulder Straps Pendulous Abdomen Design Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.78 / $827.81 / $1,008.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.68 / $852.61 / $1,188.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.00 / $1,660.37 / $3,102.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.27 / $929.30 / $1,277.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.23 / $1,115.23 / $1,115.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.12 / $960.80 / $1,188.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.76 / $773.78 / $1,200.57