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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$527.47 / $692.02 / $746.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.94 / $1,717.71 / $2,480.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.40 / $661.41 / $856.88
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.51 / $602.27 / $1,003.79