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Colorado 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
$15.14 / $26.92 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $28.18 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $31.62 / $60.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $42.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.18 / $102.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $28.18 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $29.51 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $29.51 / $44.67