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Arizona 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

Facilitymedian $56 · 10th–90th $20–$1580%10%10th90th$56Professionalmedian $42 · 10th–90th $27–$1120%10%20%10th90th$42$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $39.81 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $85.11 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $52.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $31.62 / $173.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $41.69 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $45.71 / $46.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $41.69 / $66.07