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Louisiana 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
$36.08 / $38.29 / $51.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.66 / $36.08 / $41.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.92 / $56.92 / $62.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.10 / $99.25 / $139.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.42 / $39.59 / $39.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.23 / $43.23 / $43.23
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 / $38.15 / $51.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.06 / $64.78 / $64.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $30.07 / $46.92