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Washington, DC 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
$441.35 / $441.35 / $441.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.35 / $441.35 / $441.35
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.01 / $602.01 / $737.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.62 / $519.62 / $519.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.94 / $700.94 / $2,140.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $537.98 / $692.09