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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

Facilitymedian $66 · 10th–90th $32–$1170%20%40%10th90th$66Professionalmedian $28 · 10th–90th $22–$540%20%10th90th$28$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.18 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $95.50 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $42.66 / $56.23
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 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $36.31 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $51.29