LSO, Rigid Anterior and Posterior Panels, Custom Fitted
Rhode Island 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?
$676
Typical negotiated rate. In Rhode Island, October 2026.
Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $2,239 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 4 insurance carriers under federal price transparency rules.
Prices by location type
Billed by
Who charges it
Typical
Range
Physician practiceA doctor's office, clinic or independent provider
A doctor's office, clinic or independent provider
$676
$589 to $708
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$2,239
$1,778 to $2,570
How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,514 to $2,818Professionalmedian $676 · 10th to 90th $513 to $1,000
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Professional
None
$707.95
$707.95
$707.95
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$2,398.83
Typical High
$2,818.38
Facility
None
$1,778.28
$2,398.83
$2,818.38
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$676.08
Typical High
$1,023.29
Professional
None
$478.63
$676.08
$1,023.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Facility
None
$758.58
$758.58
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$549.54
Typical High
$758.58
Professional
None
$549.54
$549.54
$758.58
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Facility
None
$1,513.56
$1,513.56
$1,513.56
United
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$645.65
Typical High
$1,000.00
Professional
None
$457.09
$645.65
$1,000.00
Where Rhode Island 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.