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South Carolina 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
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $831.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $1,023.29 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $891.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $616.60 / $1,584.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $354.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $645.65 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $616.60 / $870.96