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Nevada 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
$233.86 / $233.86 / $269.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.86 / $296.82 / $791.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.76 / $395.76 / $395.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.43 / $742.43 / $1,421.88
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 / $1,043.89
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.02 / $569.89 / $1,182.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.18 / $630.26 / $1,050.44