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Illinois 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
$418.13 / $418.13 / $418.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.38 / $426.87 / $795.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.83 / $4,069.78 / $8,876.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.19 / $500.98 / $500.98
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
$553.84 / $621.22 / $882.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.23 / $940.95 / $1,347.87
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.95 / $856.95 / $856.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.46 / $617.05 / $1,083.47