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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
$144.54 / $223.87 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $218.78 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $371.54 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $288.40 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $245.47 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $371.54