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Mississippi rates for HCPCS L0641

Lumbar Orthosis 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