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Washington, DC 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
$376.10 / $376.10 / $376.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.10 / $376.10 / $791.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.46 / $840.46 / $840.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.37 / $593.37 / $593.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.41 / $512.41 / $1,555.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.18 / $630.26 / $822.44