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North Carolina rates for HCPCS L0635

Lumbar-sacral orthosis (LSO), 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
$1,127.94 / $1,127.94 / $1,945.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.34 / $1,127.94 / $1,127.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,032.78 / $1,239.33 / $2,353.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.80 / $966.11 / $1,030.51
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.31 / $1,127.94 / $1,466.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.75 / $903.75 / $903.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.70 / $2,115.10 / $2,204.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.32 / $627.65 / $907.38
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,012.72 / $6,829.65 / $6,829.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,861.31 / $8,861.31 / $8,861.31