go back

Rhode Island 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $30.20 / $100.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $95.50 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $42.66 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $36.31 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $34.67 / $53.70