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Mississippi 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
$721.88 / $721.88 / $1,150.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.66 / $823.40 / $1,150.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.22 / $998.22 / $998.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.22 / $998.22 / $998.22
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $604.91 / $959.29