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South Carolina 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
$125.12 / $125.12 / $125.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.12 / $125.12 / $233.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $151.29 / $296.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.82 / $211.82 / $233.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.63 / $211.82 / $211.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.56 / $212.70 / $466.87
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.88 / $271.88 / $271.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.73 / $234.73 / $234.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.54 / $166.86 / $232.06