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Connecticut 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
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.90 / $56.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $60.26 / $72.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $53.70 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $42.66 / $58.88
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $45.71 / $63.10