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Iowa 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
$619.52 / $619.52 / $911.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.38 / $559.16 / $854.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.68 / $758.68 / $1,104.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.68 / $882.75 / $1,104.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.19 / $1,041.40 / $1,128.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.16 / $1,299.66 / $3,377.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.38 / $648.77 / $1,681.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.04 / $1,191.66 / $1,505.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.04 / $1,320.22 / $2,322.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.99 / $781.86 / $1,358.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.41 / $614.04 / $1,233.06
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.60 / $983.60 / $983.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.04 / $983.60 / $983.60