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Massachusetts 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
$28.30 / $28.30 / $28.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $28.30 / $36.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.27 / $141.15 / $181.21
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.29 / $37.54 / $48.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.72 / $83.63 / $107.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.15 / $43.80 / $43.80
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 / $38.15 / $62.80
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.44 / $52.44 / $55.06
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $37.79 / $37.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.98 / $181.21 / $181.21
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $32.31 / $50.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.78 / $64.78 / $64.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.54 / $32.31 / $52.44