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Mississippi 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
$649.75 / $649.75 / $1,035.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.28 / $791.01 / $1,035.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $955.35 / $1,273.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.13 / $1,123.13 / $1,123.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.13 / $1,123.13 / $1,123.13
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.18 / $782.92 / $1,302.66