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Colorado 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.89 / $603.89 / $603.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.88 / $603.89 / $902.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.36 / $1,211.66 / $2,199.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.78 / $656.78 / $709.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.81 / $711.81 / $711.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.62 / $519.62 / $1,290.31
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.31 / $603.89 / $1,504.70
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.31 / $347.31 / $347.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.21 / $1,347.96 / $2,135.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.49 / $537.98 / $810.40