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Mississippi rates for HCPCS L0625

Lumbar Orthosis 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 Offthe Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.00 / $28.77 / $45.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $33.24 / $45.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.04 / $48.04 / $48.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $48.04 / $48.04
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 / $42.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.06 / $64.78 / $77.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $31.06 / $49.72