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Nationwide rates for HCPCS L0641

Lumbar orthosis (LO), sagittal control, with rigid posterior panel(s), posterior extends from L-1 to below L-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.38 / $37.15 / $47.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.72 / $40.04 / $55.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.05 / $58.96 / $91.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.06 / $53.80 / $70.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.17 / $52.17 / $52.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $52.17 / $59.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $45.73 / $69.77