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Illinois 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
$618.79 / $618.79 / $618.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.01 / $618.79 / $963.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,938.34 / $3,311.08 / $10,359.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.10 / $914.99 / $914.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.81 / $711.81 / $1,326.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.62 / $711.81 / $1,395.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.39 / $1,203.94 / $1,444.73
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.12 / $1,565.12 / $1,565.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.19 / $907.42 / $952.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.72 / $600.63 / $1,063.55