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Nationwide rates for HCPCS L0649

Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $147.91 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $144.54 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $263.03 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $169.82 / $346.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $257.04