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Rhode Island 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
$481.46 / $647.66 / $653.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.96 / $2,104.21 / $2,491.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.38 / $620.45 / $996.48
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 / $711.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.96 / $549.74 / $916.23