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Montana rates for HCPCS L0639

Lumbar-sacral orthosis (LSO), sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, 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 July 2026.

How much does HCPCS L0639 cost?

$1,047

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,230 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 6 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$977$759 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,230$1,047 to $1,318

How much rates vary

Facilitymedian $1,230 · 10th to 90th $891 to $1,549Professionalmedian $977 · 10th to 90th $427 to $1,549
$100$200$500$1K$2K$5Kfacility $1,230professional $977

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
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,318.26
Typical High
$1,318.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$2,398.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,230.27
Typical High
$2,398.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$1,737.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,023.29
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$707.95
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$630.96
Typical High
$954.99

Where Montana sits

The same service costs 3.1 times more in Hawaii 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.

Montana· 10th of 51

$1,047

HI $1,585DC $513

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.