go back

North Dakota 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
$911.58 / $911.58 / $911.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.52 / $761.22 / $911.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.82 / $841.62 / $862.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.75 / $891.58 / $1,121.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.63 / $761.30 / $3,377.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.16 / $632.61 / $1,013.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.45 / $761.30 / $998.32