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Washington, DC 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
$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