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Nevada 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
$80.16 / $80.16 / $92.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.16 / $102.72 / $277.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.96 / $136.96 / $136.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.55 / $283.76 / $441.24
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
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.87 / $216.40 / $401.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.19 / $220.78 / $367.97