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Texas 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$6760%50%90th$347Professionalmedian $347 · 10th–90th $339$3470%50%10th$347$50.0$100.0$200.0$500.0$1.0K

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
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$741.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$338.84
Typical High
$363.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$741.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$346.74
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$1,258.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$407.38