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Alabama 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
$65.51 / $65.51 / $65.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.95 / $52.53 / $65.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.52 / $66.52 / $66.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.05 / $52.17 / $52.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $52.17 / $69.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $41.86 / $65.68