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Washington, DC 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
$336.85 / $336.85 / $336.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.85 / $336.85 / $336.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.48 / $760.38 / $760.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.84 / $553.84 / $553.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.86 / $442.86 / $1,344.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.52 / $602.27 / $774.79