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LSO, Rigid Posterior Panel, Custom Fitted

Vermont 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 July 2026.

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

$97.72

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $93.33 to $120.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $110 · 10th to 90th $66 to $112Professionalmedian $95 · 10th to 90th $93 to $120
$100.0$200.0$500.0facility $110professional $95

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$120.23
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$87.10
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$131.83
Typical High
$380.19

Where Vermont sits

The same service costs 2.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $97.72 · 38th of 51
HI $195DC $77.62

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.