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Ohio rates for HCPCS L0976

Lumbar-sacral orthosis (LSO), full corset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.76 / $96.76 / $285.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.76 / $96.76 / $128.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.15 / $198.15 / $513.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.88 / $105.45 / $237.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.11 / $185.54 / $252.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.10 / $180.14 / $385.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $281.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $85.07 / $149.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.53 / $116.53 / $116.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.07 / $116.53 / $116.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.41 / $105.07 / $137.74
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 / $135.24