go back

West Virginia 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
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.75 / $37.15 / $52.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.32 / $75.08 / $103.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.32 / $41.27 / $70.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.17 / $52.17 / $68.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $52.17 / $264.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $46.62 / $76.20