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Pennsylvania 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 / $174.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.75 / $746.75 / $746.75
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 / $277.35 / $379.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.00 / $45.00 / $174.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.93 / $379.93 / $379.93
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.35 / $277.35 / $379.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,790.84 / $4,790.84 / $4,790.84