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Florida 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
$515.25 / $571.00 / $681.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.85 / $571.00 / $837.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.26 / $757.54 / $795.41
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 / $787.18
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.19 / $642.19 / $642.19
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.92 / $776.53 / $973.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.67 / $638.51 / $709.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.01 / $620.41 / $865.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.46 / $709.46 / $709.46