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Texas 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 $20 · 10th–90th $11$3,8900%10%10th90th$20Professionalmedian $26 · 10th–90th $22$390%20%10th90th$26$0.1$1.0$10.0$100.0$1.0K$10.0K

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
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$17.38
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$25.12
Typical High
$38.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$27.54
Typical High
$41.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,388.44
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Christus
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$38.02
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$40.74
Typical High
$83.18
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$23.99
Typical High
$40.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$50.12
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$40.74
Typical High
$83.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$35.48
Typical High
$42.66
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$40.74
Typical High
$40.74