go back

Arizona rates for HCPCS L0648

Lumbar-sacral orthosis (LSO), sagittal control, with rigid anterior and posterior panels, 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, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Facilitymedian $295 · 10th–90th $62–$7240%10%20%10th90th$295Professionalmedian $525 · 10th–90th $331–$8710%20%10th90th$525$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $512.86 / $870.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $234.42 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $213.80 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $758.58
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $5,128.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $549.54 / $870.96