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Alaska rates for HCPCS L0638

Lumbar-sacral orthosis (LSO), 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

Facilitymedian $851 · 10th–90th $457$1,5850%20%40%10th90th$851Professionalmedian $933 · 10th–90th $776$1,9050%10%20%10th90th$933$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,698.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,122.02
Typical High
$1,584.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,513.56
Typical High
$5,128.61
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,513.56
Typical High
$1,584.89
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$1,584.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$1,122.02
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,230.27
Typical High
$3,890.45