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Florida 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
$39.11 / $43.36 / $51.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.58 / $43.36 / $63.60
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 / $59.30
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.38 / $58.96 / $84.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.08 / $53.86 / $59.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $47.11 / $65.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.86 / $53.86 / $53.86