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Mississippi 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
$40.70 / $40.70 / $64.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.72 / $47.03 / $64.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.95 / $67.95 / $67.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.95 / $67.95 / $67.95
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 / $52.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $46.48 / $74.59