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Colorado 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.45 / $285.45 / $285.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.45 / $475.76 / $761.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.74 / $572.74 / $1,039.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$675.66 / $708.65 / $725.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.68 / $758.68 / $758.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.84 / $553.84 / $882.75
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.06 / $285.45 / $1,274.84
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.06 / $249.06 / $249.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.11 / $637.17 / $1,019.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.01 / $551.38 / $865.02