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Maryland 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

Facilitymedian $26 · 10th–90th $13–$540%10%20%10th90th$26Professionalmedian $28 · 10th–90th $18–$450%10%20%10th90th$28$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $25.12 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.12 / $43.65
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $38.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $37.15 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $28.84 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $32.36 / $50.12
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $35.48 / $36.31