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Montana 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?

$1,288

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $1,413 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,230$661 to $1,318
FacilityA hospital or hospital-owned outpatient department$1,413$1,288 to $74,131

How much rates vary

Facilitymedian $1,413 · 10th to 90th $977 to $75,858Professionalmedian $1,230 · 10th to 90th $79 to $1,413
$100$1K$10K$100Kfacility $1,413professional $1,230

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
$489.78
Median
$831.76
Typical High
$1,548.82
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,318.26
Typical High
$1,318.26
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,621.81
Typical High
$75,857.76
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$79,432.82
Providence
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$1,318.26
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,000.00
Typical High
$1,318.26
United
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$630.96
Typical High
$1,047.13

Where Montana 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.

Montana· 6th of 51

$1,288

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.