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Colorado 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
$21.67 / $21.67 / $21.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $36.11 / $52.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $43.48 / $78.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.80 / $55.61 / $58.10
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 / $44.34 / $67.13
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.91 / $21.67 / $96.77
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.91 / $18.91 / $18.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.25 / $48.38 / $85.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $41.86 / $65.68