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North Dakota 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 $48 · 10th–90th $33–$780%20%40%10th90th$48Professionalmedian $37 · 10th–90th $23–$490%20%10th90th$37$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
$33.11 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.11 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $44.67 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $46.77 / $58.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $48.98 / $181.97
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $29.51 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $40.74 / $54.95