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Minnesota 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
$836.53 / $836.53 / $836.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.57 / $836.53 / $836.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.63 / $1,285.04 / $1,692.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.15 / $1,143.74 / $1,203.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.81 / $3,715.07 / $10,318.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.75 / $1,479.50 / $1,772.60
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,205.59 / $3,564.43 / $8,124.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.75 / $1,395.75 / $1,436.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.73 / $1,203.94 / $5,716.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $539.86 / $1,322.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $537.98 / $1,208.97