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Florida rates for HCPCS L0638

Lumbar-Sacral Orthosis Sagittal-Coronal Control With Rigid Anterior And Posterior Frame/Panels Posterior Extends From Sacrococcygeal Junction To T-9 Vertebra Lateral Strength Provided By Rigid Lateral Frame/Panels Produces Intracavitary Pressure To Reduce Load On Intervertebral Discs Includes Straps Closures May Include Padding Shoulder Straps Pendulous Abdomen Design Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.97 / $733.60 / $840.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.79 / $772.21 / $1,399.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.95 / $1,437.95 / $1,437.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.23 / $1,115.23 / $1,115.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.12 / $814.12 / $1,115.23
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.14 / $981.14 / $981.14
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.04 / $1,067.55 / $1,597.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.17 / $1,278.17 / $1,278.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.46 / $780.45 / $1,016.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$929.30 / $929.30 / $1,597.72