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Oregon 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
Professional
Modifier
Low / Median / High Price
$405.71 / $791.01 / $2,227.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.37 / $593.37 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.02 / $833.08 / $1,086.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.82 / $405.71 / $1,158.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.01 / $395.76 / $1,034.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.76 / $589.79 / $1,110.11
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.79 / $589.79 / $941.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.76 / $415.55 / $919.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.09 / $602.69 / $1,099.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.29 / $1,868.66 / $2,198.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.31 / $435.34 / $1,160.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.18 / $630.26 / $988.78