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Rhode Island 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
$19.47 / $40.04 / $56.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.38 / $130.41 / $188.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.68 / $50.21 / $65.05
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 / $52.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.84 / $45.73 / $76.20