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Rhode Island 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
$296.82 / $657.41 / $851.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,788.74 / $1,987.49 / $2,829.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.25 / $754.41 / $986.97
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 / $952.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.83 / $686.96 / $1,144.94