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Connecticut rates for HCPCS L0625

Lumbar Orthosis 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 Offthe Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.48 / $31.48 / $31.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $28.30 / $35.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.29 / $41.67 / $47.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.19 / $36.19 / $37.85
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.09 / $27.09 / $27.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $27.09 / $33.64
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $7.20 / $7.20
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $37.79 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.26 / $32.31 / $46.29