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Washington, DC 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
$634.79 / $634.79 / $634.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.79 / $634.79 / $634.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.87 / $865.87 / $1,060.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.12 / $814.12 / $814.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.15 / $1,008.15 / $3,078.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.85 / $773.78 / $1,448.55