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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$83.22 / $109.17 / $117.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.87 / $270.97 / $391.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.88 / $104.35 / $135.18
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 / $128.79 / $128.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.23 / $95.02 / $158.36