search again

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
$26.92 / $40.74 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $39.81 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $70.79 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $54.95 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $46.77 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $70.79