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Connecticut rates for HCPCS L0650

Lumbar-Sacral Orthosis 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
$669.26 / $669.26 / $669.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.72 / $669.26 / $791.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.33 / $898.49 / $1,027.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.43 / $742.43 / $800.91
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 / $593.37 / $812.83
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.02 / $584.02 / $584.02
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.41 / $584.02 / $763.72
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.94 / $715.94 / $715.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.39 / $686.96 / $993.47