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Maine rates for HCPCS L0637

Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on 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 HCPCS L0637 cost?

$794

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $794 for this service. Most negotiated rates run $759 to $1,202.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,738 · 10th to 90th $1,349 to $3,311Professionalmedian $794 · 10th to 90th $661 to $1,202
$500$1K$2Kfacility $1,738professional $794

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
Professional
Modifier
None
Typical Low
$707.95
Median
$831.76
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$3,311.31
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$794.33
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$75.86
Median
$75.86
Typical High
$85.11
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$575.44
Median
$575.44
Typical High
$630.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$912.01
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$912.01
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$1,202.26
Typical High
$1,584.89
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$831.76
Typical High
$831.76
United
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$691.83
Typical High
$1,905.46

Where Maine sits

The same service costs 2.5 times more in Hawaii than in Arizona. 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.

Maine· 37th of 51

$794

HI $1,585AZ $631

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.