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Washington, DC 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
$134.88 / $134.88 / $134.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $277.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.87 / $304.47 / $304.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.10 / $220.10 / $220.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.33 / $177.33 / $538.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.78 / $241.17 / $310.24