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Alabama 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
$1,440.99 / $1,440.99 / $1,440.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.12 / $1,440.99 / $1,440.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.17 / $1,189.17 / $1,189.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.23 / $1,115.23 / $1,589.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.12 / $1,115.23 / $1,560.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.15 / $708.22 / $1,097.32