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Nevada 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
$529.66 / $529.66 / $611.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.66 / $611.15 / $816.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.00 / $1,551.00 / $1,551.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.29 / $929.30 / $1,892.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.23 / $1,115.23 / $1,141.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.12 / $939.23 / $1,188.90
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.50 / $1,240.80 / $2,016.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.53 / $708.22 / $1,180.36