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Mississippi 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
$279.07 / $279.07 / $444.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.79 / $318.31 / $444.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.48 / $373.48 / $373.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.88 / $385.88 / $385.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.88 / $385.88 / $385.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.81 / $312.81 / $312.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.35 / $228.35 / $312.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.19 / $231.66 / $370.84