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Nationwide rates for HCPCS L0642

Lumbar orthosis (LO), sagittal control, with rigid anterior and posterior panels, 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, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.37 / $203.19 / $245.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.10 / $227.29 / $298.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.95 / $310.94 / $480.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.83 / $283.76 / $372.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.51 / $301.51 / $301.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.10 / $301.51 / $321.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.62 / $241.17 / $367.97