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North Dakota rates for HCPCS L0638

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, custom fabricated

Rates data updated July 2026.

How much does HCPCS L0638 cost?

$1,479

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $1,175 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,514$1,175 to $1,778
FacilityA hospital or hospital-owned outpatient department$1,175$1,096 to $1,175

How much rates vary

Facilitymedian $1,175 · 10th to 90th $1,096 to $2,291Professionalmedian $1,514 · 10th to 90th $851 to $1,950
$500$1K$2K$5Kfacility $1,175professional $1,514

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,096.48
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,778.28
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,862.09
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,348.96
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$707.95
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,071.52
Typical High
$1,862.09

Where North Dakota sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. 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.

North Dakota· 4th of 51

$1,479

MN $1,585DC $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.