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North Carolina 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
$63.60 / $63.60 / $63.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.58 / $63.60 / $63.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.19 / $45.86 / $46.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.08 / $92.50 / $132.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.40 / $57.53 / $63.28
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 / $52.17 / $67.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.91 / $63.60 / $76.31
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.91 / $73.91 / $73.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $96.98 / $101.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.84 / $46.69 / $66.52
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.58 / $256.42 / $256.42
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.82 / $391.82 / $391.82