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Vermont 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
$614.16 / $614.16 / $708.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.80 / $724.80 / $724.80
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
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.68 / $758.68 / $758.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.84 / $758.68 / $808.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.38 / $944.87 / $1,453.50