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North Dakota 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
$254.63 / $254.63 / $254.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.05 / $193.30 / $254.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.84 / $235.10 / $240.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.38 / $248.84 / $312.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.43 / $212.66 / $943.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.43 / $176.71 / $283.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.28 / $154.02 / $278.86