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North Carolina 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
$335.42 / $335.42 / $335.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.94 / $335.42 / $335.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.98 / $270.98 / $454.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.47 / $487.77 / $699.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.58 / $303.33 / $333.67
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 / $353.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.73 / $335.42 / $402.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.74 / $389.74 / $389.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.39 / $511.46 / $535.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.62 / $246.22 / $350.77
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.01 / $1,352.24 / $1,352.24
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.44 / $2,066.44 / $2,066.44