go back

North Dakota 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
$69.20 / $69.20 / $69.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.03 / $52.53 / $69.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.04 / $63.90 / $65.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $67.80 / $85.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.78 / $57.80 / $256.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $48.04 / $76.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.72 / $46.48 / $75.79