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Utah rates for HCPCS L0648

Lumbar-Sacral Orthosis 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
$475.76 / $475.76 / $475.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.76 / $475.76 / $3,483.15
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 / $808.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $277.22 / $360.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.90 / $494.90 / $669.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.82 / $443.47 / $710.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.26 / $551.38 / $551.38