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Nationwide rates for HCPCS L0626

Lumbar Orthosis Sagittal Control With Rigid Posterior Panel(S) Posterior Extends From L-1 To L-5 Vertebra Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs Includes Straps Closures May Include Padding Stays Shoulder Straps Pendulous Abdomen Design Pre- Fabricated Item That Has Been Trimmed Bent Molded Assembled Or Otherwise Customized To Fit A Specific Patient By An Individual With Expertise(Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.27 / $48.27 / $65.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $50.39 / $61.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.65 / $98.13 / $183.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.41 / $50.86 / $73.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.60 / $58.60 / $58.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.78 / $58.60 / $75.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.68 / $45.73 / $70.25