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Alabama 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.31 / $46.31 / $97.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.22 / $46.31 / $46.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.40 / $41.40 / $41.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.36 / $38.15 / $42.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $38.15 / $49.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.06 / $55.06 / $64.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $29.59 / $47.24