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New Mexico 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
$587.67 / $587.67 / $587.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.67 / $902.50 / $4,148.45
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 / $713.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.77 / $1,198.47 / $1,797.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.31 / $347.31 / $900.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.62 / $711.81 / $1,404.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.49 / $537.98 / $810.40