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Nationwide rates for HCPCS L0635

Lumbar-sacral orthosis (LSO), sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.79 / $618.79 / $744.54	Facility	$618.79	$618.79	$744.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $630.26 / $842.98	Professional	$533.17	$630.26	$842.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,090.14 / $1,269.74 / $2,199.87	Facility	$1,090.14	$1,269.74	$2,199.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.78 / $656.78 / $953.42	Professional	$656.78	$656.78	$953.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.81 / $711.81 / $711.81	Facility	$711.81	$711.81	$711.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $711.81 / $774.64	Professional	$519.62	$711.81	$774.64
United Facility/Professional Professional Modifier Low / Median / High Price $430.44 / $571.91 / $861.69	Professional	$430.44	$571.91	$861.69

Nationwide rates for HCPCS L0635

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