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Maryland 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
Professional
Modifier
Low / Median / High Price
$441.35 / $481.46 / $842.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.01 / $602.01 / $737.16
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 / $711.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.86 / $1,078.36 / $1,552.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.96 / $537.98 / $857.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.04 / $646.04 / $754.86