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Louisiana 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
$187.73 / $199.29 / $268.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.27 / $193.06 / $216.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.33 / $516.50 / $726.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.58 / $206.06 / $206.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.82 / $211.82 / $211.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.63 / $211.82 / $211.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.68 / $164.66 / $244.27