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Kansas 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
$36.78 / $49.61 / $569.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.10 / $25.91 / $39.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.42 / $63.75 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.27 / $63.27 / $63.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.15 / $38.15 / $38.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $38.15 / $59.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.10 / $39.54 / $181.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $32.95 / $72.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.06 / $55.06 / $64.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $31.92 / $44.12