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Indiana rates for HCPCS L0972

Lumbar-sacral orthosis (LSO), corset front

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $89.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $120.23 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $70.79 / $123.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $165.96 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $87.10 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $58.88 / $85.11