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Washington, DC 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
$18.07 / $18.07 / $18.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.07 / $18.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $36.15 / $36.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $32.43 / $32.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.76 / $23.76 / $72.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.73 / $77.73 / $77.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.54 / $29.17 / $38.15