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Nationwide rates for HCPCS L0643

Lumbar-Sacral Orthosis Sagittal Control With Rigid Posterior Panel(S) Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs Includes Straps Closures May Include Padding Stays Shoulder Straps Pendulousabdomen Design Prefabricated Off-The-Shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.51 / $77.23 / $97.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.73 / $77.23 / $111.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.99 / $122.50 / $189.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.25 / $111.80 / $146.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.79 / $128.79 / $128.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.02 / $124.17 / $137.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.23 / $95.02 / $144.97