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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.63 / $32.63 / $32.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $28.30 / $38.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.96 / $92.18 / $133.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.42 / $42.30 / $45.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.15 / $38.15 / $42.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $38.15 / $73.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.78 / $64.78 / $64.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.26 / $32.31 / $53.85