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Nevada 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 $17 · 10th–90th $10–$300%20%10th90th$17Professionalmedian $27 · 10th–90th $15–$430%10%10th90th$27$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
$10.00 / $17.38 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $26.92 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $38.02 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $41.69
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $19.05 / $37.15
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $27.54 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $29.51 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $29.51 / $43.65