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New York 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 $37 · 10th–90th $6$680%10%10th90th$37Professionalmedian $36 · 10th–90th $21$760%20%10th90th$36$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$5.75 / $29.51 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $52.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $97.72
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $46.77 / $46.77
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $42.66 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $63.10
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $61.66 / $144.54
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $38.90 / $70.79
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $45.71
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $39.81 / $43.65
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $35.48 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $33.88 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $35.48 / $66.07
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $45.71
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $39.81 / $43.65