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Maine 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
Professional
Modifier
Low / Median / High Price
$147.34 / $204.69 / $204.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.92 / $249.95 / $463.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.20 / $195.72 / $195.72
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 / $154.63 / $211.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.04 / $273.04 / $273.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.95 / $204.69 / $204.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.24 / $168.24 / $386.89