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Washington, DC rates for HCPCS L0627

Lumbar Orthosis Sagittal Control With Rigid Anterior And Posterior Panels Posterior Extends From L-1 To Below L-5 Vertebra Produces Intra- Cavitary Pressure To Reduce The Load On The Inter-Vertebral Discs Includes Straps Closures May Include Padding Shoulder Straps Pendulous Abdomen Design Prefabricated 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
$197.85 / $197.85 / $197.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.85 / $197.85 / $265.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.86 / $269.86 / $330.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.35 / $228.35 / $228.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.22 / $314.22 / $959.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.78 / $241.17 / $362.36