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Michigan rates for HCPCS L0632

Lumbar-Sacral Orthosis Sagittal Control With Rigid Anterior And Posterior Panels Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra Produces Intracavitary Pressure To Reduce Load On The Intervertebral Discs Includes Straps Closures May Include Padding Shoulder Straps Pendulous Abdomen Design Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.46 / $3,437.78 / $6,261.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.00 / $1,140.00 / $1,539.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.93 / $125.93 / $125.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.93 / $379.93 / $379.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.35 / $379.93 / $391.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,790.84 / $4,790.84 / $4,790.84