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Kentucky 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

Facilitymedian $170 · 10th–90th $129$3240%20%10th90th$170Professionalmedian $151 · 10th–90th $102$2690%10%10th90th$151$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $128.82 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $223.87 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $269.15 / $269.15
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $295.12 / $380.19
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $269.15 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $275.42 / $977.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $288.40 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $151.36 / $190.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $165.96 / $239.88