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Iowa 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
$173.05 / $173.05 / $254.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.83 / $156.19 / $238.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.82 / $211.82 / $308.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.82 / $246.38 / $308.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.14 / $327.14 / $354.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.19 / $363.03 / $943.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.02 / $181.22 / $469.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.39 / $332.85 / $420.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.39 / $368.77 / $648.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.11 / $218.40 / $379.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.02 / $171.51 / $365.57
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.74 / $274.74 / $274.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.04 / $274.74 / $274.74