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Florida 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
$533.71 / $591.46 / $677.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.35 / $591.46 / $1,127.94
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 / $733.16
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.84 / $860.71 / $1,288.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.51 / $1,030.51 / $1,030.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.49 / $627.65 / $771.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.78 / $656.78 / $1,288.14