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Vermont 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 / $46.62 / $53.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.03 / $55.03 / $55.03
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 / $55.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.17 / $52.17 / $52.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $52.17 / $55.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.48 / $60.97 / $110.34