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North Carolina 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
$30.90 / $44.96 / $100.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $44.96 / $44.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.81 / $76.17 / $93.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.75 / $40.67 / $43.38
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 / $59.06
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.10 / $44.96 / $67.45
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.83 / $46.83 / $46.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.90 / $68.54 / $119.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.21 / $32.84 / $47.03
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $181.21 / $181.21
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.89 / $276.89 / $276.89