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LSO, Rigid Anterior and Posterior Panels, Custom Fitted

California rates for HCPCS L0631

Lumbar-sacral orthosis (LSO), sagittal control, with rigid anterior and posterior panels, 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, 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 Anterior and Posterior Panels, Custom Fitted cost?

$759

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $1,230 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 14 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$724$575 to $1,585
FacilityA hospital or hospital-owned outpatient department$1,230$759 to $2,188

How much rates vary

Facilitymedian $1,230 · 10th to 90th $537 to $3,388Professionalmedian $724 · 10th to 90th $550 to $6,310
$500$1K$2K$5K$10Kfacility $1,230professional $724

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
$660.69
Median
$660.69
Typical High
$660.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$758.58
Ambetter
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$2,041.74
Typical High
$4,073.80
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$870.96
Typical High
$1,737.80
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$1,778.28
Typical High
$2,951.21
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$2,511.89
Typical High
$4,570.88
Central California Alliance for Health
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$707.95
Typical High
$977.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$758.58
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$1,230.27
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,096.48
Typical High
$2,137.96
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$9,332.54
Molina
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Optum
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$758.58
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$758.58
Providence
Setting
Professional
Modifier
RR · Rental
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Sutter Health Plus
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
United
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,513.56
United
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$660.69
Typical High
$1,548.82

Where California sits

The same service costs 2.2 times more in Iowa 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.

California· 22nd of 51

$759

IA $1,230DE $550

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.