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Florida 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
$549.54 / $588.84 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $616.60 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $707.95
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $794.33 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $537.03 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $616.60 / $776.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,318.26