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Nevada 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
$15.20 / $15.20 / $17.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $19.47 / $52.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.97 / $25.97 / $25.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.37 / $53.80 / $83.68
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 / $59.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.16 / $41.86 / $69.77