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Oregon 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 $28 · 10th–90th $18–$520%20%10th90th$28Professionalmedian $28 · 10th–90th $18–$500%10%10th90th$28$10.0$50.0$200.0$1.0K

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
$19.05 / $33.88 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $39.81 / $48.98
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $48.98 / $58.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $46.77 / $51.29
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $27.54 / $51.29
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $27.54 / $54.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $69.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $32.36 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $64.57 / $107.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $20.89 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $33.11 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $29.51 / $45.71