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Indiana rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.16 / $89.16 / $180.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.73 / $92.59 / $106.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.31 / $161.22 / $180.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.88 / $109.55 / $151.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.12 / $204.16 / $270.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.12 / $198.15 / $243.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $180.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $85.07 / $184.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.72 / $91.72 / $91.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.92 / $89.87 / $131.57