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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
$27.66 / $30.65 / $35.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $30.65 / $44.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.67 / $48.80 / $48.80
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 / $42.30
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.98 / $40.98 / $40.98
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $41.67 / $50.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.10 / $47.86 / $52.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.78 / $64.78 / $64.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $32.61 / $42.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.67 / $47.86 / $47.86