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Massachusetts 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
$601.65 / $601.65 / $601.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.92 / $601.65 / $844.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.79 / $2,191.37 / $3,899.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.39 / $862.18 / $1,063.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.55 / $1,778.12 / $2,289.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.69 / $1,354.04 / $1,702.19
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 / $1,021.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.88 / $1,114.88 / $1,170.61
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.94 / $715.94 / $862.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,830.35 / $3,899.19 / $3,899.19
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.39 / $686.96 / $1,077.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.39 / $734.15 / $1,080.91