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South Carolina 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
$637.55 / $637.55 / $637.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.67 / $637.55 / $1,127.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.17 / $977.07 / $1,378.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.81 / $711.81 / $785.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.62 / $711.81 / $774.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.17 / $892.58 / $2,023.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.75 / $903.75 / $903.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.43 / $582.82 / $774.64