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Missouri 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
$465.98 / $465.98 / $867.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.13 / $482.92 / $737.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.30 / $799.37 / $3,514.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.00 / $725.49 / $1,025.52
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 / $808.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.04 / $761.30 / $3,377.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.51 / $614.04 / $1,496.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.51 / $614.04 / $1,065.59