go back

Maryland 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
Professional
Modifier
Low / Median / High Price
$336.85 / $464.85 / $761.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.48 / $760.38 / $760.38
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 / $553.84 / $758.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.92 / $681.32 / $1,021.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.38 / $614.16 / $944.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $667.28 / $667.28