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Oklahoma 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
$434.93 / $434.93 / $434.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.82 / $434.93 / $482.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.42 / $805.42 / $924.59
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 / $758.68 / $758.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.06 / $456.68 / $3,377.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.59 / $594.47 / $1,070.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.26 / $583.95 / $865.02