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Nebraska 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
$567.64 / $567.64 / $567.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.64 / $567.64 / $737.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.22 / $731.74 / $739.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.68 / $1,104.04 / $1,104.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.68 / $1,103.44 / $2,087.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.88 / $974.31 / $3,377.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.26 / $614.04 / $963.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.04 / $1,109.33 / $1,705.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.33 / $1,458.06 / $2,322.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.89 / $614.04 / $865.02