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Oklahoma 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
$121.49 / $121.49 / $121.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.99 / $121.49 / $134.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.98 / $224.98 / $224.98
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.56 / $127.56 / $943.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.68 / $166.06 / $299.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.68 / $157.06 / $241.63