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Kansas 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
$737.09 / $737.09 / $737.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.76 / $482.92 / $737.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.62 / $997.89 / $1,058.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.49 / $990.49 / $990.49
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 / $1,103.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.06 / $722.50 / $3,377.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.59 / $614.04 / $1,355.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.36 / $614.04 / $918.97