go back

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
$15.32 / $15.32 / $34.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $19.67 / $37.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $30.74 / $55.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $36.19 / $36.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.15 / $38.15 / $42.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $32.43 / $51.90
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.10 / $19.10 / $71.23
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $19.10 / $19.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $34.20 / $60.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.86 / $29.59 / $44.57