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LO, Rigid Posterior Panel, Off-the-Shelf

Indiana 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 $51 · 10th–90th $31$830%50%10th90th$51Professionalmedian $43 · 10th–90th $28$740%10%20%10th90th$43$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
Facility
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$30.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$31.62
Typical High
$47.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$51.29
Typical High
$97.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$56.23
Typical High
$89.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$75.86
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$41.69
Typical High
$63.10
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$46.77
Typical High
$69.18