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LO, Rigid Anterior and Posterior Panels, Custom Fitted

Tennessee rates for HCPCS L0627

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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

How much does LO, Rigid Anterior and Posterior Panels, Custom Fitted cost?

$240

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $389 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$224 to $282
FacilityA hospital or hospital-owned outpatient department$389$245 to $2,344

How much rates vary

Facilitymedian $389 · 10th to 90th $219 to $2,344Professionalmedian $240 · 10th to 90th $219 to $417
$200$500$1K$2Kfacility $389professional $240

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$245.47
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$316.23
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,630.78
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$257.04
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$331.13

Where Tennessee sits

The same service costs 2.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Tennessee· 43rd of 51

$240

HI $490DC $200

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.