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Virginia 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
$336.85 / $596.90 / $596.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.85 / $596.90 / $681.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.53 / $776.53 / $824.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.65 / $708.65 / $885.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.48 / $760.38 / $760.38
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 / $553.84 / $758.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.92 / $681.32 / $1,091.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.06 / $661.41 / $1,108.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.97 / $1,126.00 / $1,492.23
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$628.34 / $944.87 / $1,219.59
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.34 / $944.87 / $1,219.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.99 / $602.27 / $944.87