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Florida 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
$14.45 / $30.20 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.20 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $40.74
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $30.20 / $46.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $47.86 / $60.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $29.51 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $42.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $47.86 / $47.86