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Kansas 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
$998.54 / $998.54 / $998.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.31 / $654.22 / $998.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.06 / $972.19 / $1,031.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.98 / $964.98 / $964.98
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 / $711.81 / $1,744.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.31 / $971.82 / $5,716.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $601.58 / $1,540.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.32 / $574.76 / $805.71