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Mississippi 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
$895.37 / $895.37 / $1,427.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.48 / $1,021.28 / $1,427.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.10 / $1,238.10 / $1,238.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.10 / $1,238.10 / $1,238.10
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.15 / $758.50 / $1,262.05