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Maine 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
Professional
Modifier
Low / Median / High Price
$677.68 / $941.43 / $941.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.46 / $1,787.22 / $3,312.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.90 / $905.90 / $929.30
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 / $814.12 / $1,115.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.78 / $1,255.78 / $1,255.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.32 / $941.43 / $941.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.53 / $1,255.78 / $2,147.62