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Idaho rates for HCPCS L0648

Lumbar-Sacral Orthosis 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
$181.98 / $756.17 / $756.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.00 / $635.44 / $645.45
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 / $758.68 / $808.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.06 / $405.41 / $667.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.83 / $324.94 / $509.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $731.99 / $869.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.90 / $494.90 / $959.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.82 / $372.11 / $535.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.01 / $551.38 / $944.87