go back

Connecticut 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
$586.75 / $586.75 / $586.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.87 / $525.36 / $586.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.80 / $776.53 / $888.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.67 / $708.65 / $708.65
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 / $758.68
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.74 / $504.74 / $504.74
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.86 / $504.74 / $660.05
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.02 / $605.02 / $605.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.51 / $602.27 / $862.74