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Nationwide rates for HCPCS L0650

Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.16 / $601.65 / $817.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.92 / $700.52 / $870.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.45 / $898.49 / $1,388.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.43 / $742.43 / $1,257.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $952.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.37 / $812.83 / $952.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.39 / $692.15 / $1,050.44