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Kentucky 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
$35.32 / $36.61 / $45.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.72 / $34.43 / $52.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $58.96 / $61.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.11 / $73.91 / $73.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.22 / $79.59 / $97.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $70.75 / $97.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.17 / $52.17 / $68.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $52.17 / $264.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.60 / $73.91 / $92.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.56 / $44.83 / $65.04