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Washington, DC 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
$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