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LSO, Rigid Posterior Panel, Custom Fitted

Iowa rates for HCPCS L0630

Lumbar-sacral orthosis (LSO), sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, 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 October 2026.

How much does LSO, Rigid Posterior Panel, Custom Fitted cost?

$195

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $219 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$117 to $229
FacilityA hospital or hospital-owned outpatient department$219$195 to $398

How much rates vary

Facilitymedian $219 · 10th to 90th $132 to $912Professionalmedian $195 · 10th to 90th $98 to $263
$100$200$500$1Kfacility $219professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$123.03
Typical High
$177.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$112.20
Median
$218.78
Typical High
$218.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$263.03
Typical High
$281.84
Hally Health
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$194.98
Typical High
$229.09
Medica
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$213.80
Typical High
$912.01
Medica
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$165.96
Typical High
$501.19
Midlands
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$263.03
Typical High
$263.03
Midlands
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Midlands
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$323.59
Typical High
$323.59
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$275.42
Typical High
$426.58
United
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$549.54
United
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$97.72
Typical High
$169.82
Wellmark
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98

Where Iowa sits

The same service costs 2.6 times more in Montana than in Delaware. 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.

Iowa· 2nd of 51

$195

MT $209DE $81.28

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.