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Kansas 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
$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