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New Jersey 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
$428.03 / $428.03 / $428.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.38 / $472.43 / $692.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.32 / $758.68 / $758.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.84 / $553.84 / $882.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.80 / $749.45 / $1,102.90
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.32 / $1,003.79 / $1,003.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.19 / $602.27 / $968.49