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Alabama rates for HCPCS L0649

Lumbar-Sacral Orthosis 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 Presssure To Reduce Load On Intervertebral Disc 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
$241.01 / $241.01 / $241.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.62 / $241.01 / $241.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.69 / $244.69 / $244.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.14 / $211.82 / $211.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.63 / $211.82 / $256.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.68 / $157.06 / $241.63