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LO, Rigid Posterior Panel, Off-the-Shelf

Alaska rates for HCPCS L0641

Lumbar orthosis (LO), sagittal control, with rigid posterior panel(s), posterior extends from L-1 to below L-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $19$850%50%90th$19Professionalmedian $52 · 10th–90th $31$980%10%10th90th$52$20.0$50.0$100.0$200.0

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
Professional
Modifier
Global
Typical Low
$21.88
Median
$39.81
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$95.50
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$26.92
Typical High
$85.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$85.11
Typical High
$134.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$85.11
Typical High
$89.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$89.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$83.18
Providence
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$57.54
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$44.67
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$69.18
Typical High
$114.82