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Kentucky rates for HCPCS L0642

Lumbar Orthosis Sagittal Control With Rigid Anterior And Posterior Panels Posterior Extends From L-L To Below L-5 Vertebra Produces Intra- Cavitary Pressure To Reduce Load On The Inter- Vertebral 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
$186.25 / $193.14 / $242.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.94 / $186.25 / $277.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.41 / $302.31 / $606.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.56 / $310.94 / $326.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.56 / $389.74 / $389.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.21 / $419.77 / $513.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.30 / $373.13 / $513.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.51 / $301.51 / $362.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.10 / $301.51 / $1,392.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.58 / $389.74 / $487.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.86 / $239.35 / $346.36