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Alabama 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

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