go back

Minnesota 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
$619.52 / $619.52 / $619.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.76 / $619.52 / $911.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.50 / $931.85 / $1,444.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.35 / $976.49 / $1,006.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.68 / $2,334.98 / $6,485.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.75 / $935.72 / $1,121.08
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,386.25 / $2,240.30 / $5,106.46
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.75 / $882.75 / $902.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.52 / $761.30 / $3,377.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.59 / $615.71 / $1,242.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.59 / $649.04 / $1,441.74