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Louisiana 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
$672.07 / $713.43 / $961.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.25 / $713.42 / $775.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.33 / $1,849.01 / $2,599.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.68 / $737.70 / $737.70
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 / $786.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.59 / $590.34 / $874.49