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Massachusetts 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
$481.46 / $481.46 / $481.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.46 / $519.34 / $757.52
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.03 / $2,849.28 / $6,829.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.24 / $836.26 / $1,076.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.18 / $1,422.93 / $1,832.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.55 / $745.17 / $745.17
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 / $1,395.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.18 / $892.18 / $936.79
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.34 / $659.34 / $659.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,737.40 / $6,829.65 / $6,829.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.53 / $580.30 / $1,076.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.44 / $589.02 / $1,076.08