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Massachusetts 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
$527.47 / $527.47 / $527.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.03 / $527.47 / $746.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.21 / $2,199.16 / $3,377.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.51 / $753.91 / $931.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,274.39 / $1,557.92 / $1,998.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.41 / $690.85 / $1,033.28
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 / $882.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.44 / $977.44 / $1,026.31
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.02 / $605.02 / $605.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.85 / $3,377.04 / $3,377.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.51 / $602.27 / $944.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.51 / $682.16 / $977.44