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Connecticut rates for HCPCS L0635

Lumbar-Sacral Orthosis 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
$535.57 / $535.57 / $535.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.88 / $535.57 / $595.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.99 / $1,101.92 / $1,260.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.78 / $656.78 / $688.15
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 / $711.81
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$716.25 / $716.25 / $716.25
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.25 / $745.15 / $1,054.68
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.34 / $659.34 / $659.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.53 / $549.74 / $916.23