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Iowa rates for HCPCS L0634

Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $347$5890%50%90th$347Professionalmedian $347 · 10th–90th $347$3470%50%$347$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$630.96
Typical High
$870.96
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$794.33
Typical High
$851.14
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$776.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$2,754.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$602.56