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LO, Rigid Posterior Panel, Off-the-Shelf

Arizona 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 $56 · 10th–90th $19$1580%10%10th90th$56Professionalmedian $42 · 10th–90th $22$760%20%10th90th$42$0.1$0.5$2.0$10.0$50.0$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
$38.02
Typical High
$52.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$87.10
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$81.28
Typical High
$162.18
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
$52.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$31.62
Typical High
$173.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$41.69
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$45.71
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$41.69
Typical High
$66.07