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Texas rates for HCPCS L0629

Lumbar-Sacral Orthosis Flexible Provides Lumbo-Sacral Support Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs Includes Straps Closures May Include Stays Shoulder Straps Pendulous Abdomen Design Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $173.00 / $173.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $173.00 / $173.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $87.56 / $87.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.02 / $263.02 / $263.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.01 / $192.01 / $263.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $161.19 / $161.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $173.00 / $290.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.00 / $173.00 / $173.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.00 / $173.00 / $263.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.01 / $192.01 / $263.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.52 / $203.52 / $203.52