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Nationwide rates for HCPCS L0625

Lumbar orthosis (LO), flexible, provides lumbar support, posterior extends from L-1 to below L-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf

Facilitymedian $36 · 10th–90th $18–$1170%20%10th90th$36Professionalmedian $32 · 10th–90th $19–$540%20%40%10th90th$32$0.1$1.0$20.0$500.0$10.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $28.18 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $39.81 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $32.36 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $32.36 / $48.98

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