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Oregon 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
Professional
Modifier
Low / Median / High Price
$27.36 / $36.11 / $264.45
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $54.69 / $71.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $27.36 / $80.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $25.97 / $71.73
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.97 / $38.70 / $75.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.97 / $27.36 / $68.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.25 / $40.72 / $76.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.61 / $129.58 / $152.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.59 / $28.57 / $78.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $41.86 / $65.68