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Oklahoma 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 $33 · 10th–90th $23–$5750%10%20%10th90th$33Professionalmedian $28 · 10th–90th $20–$440%10%10th90th$28$20.0$50.0$100.0$200.0$500.0

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
$22.91 / $26.30 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.44 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $38.90 / $181.97
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $31.62 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $33.11 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $29.51 / $42.66