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LO, Rigid Posterior Panel, Off-the-Shelf

Massachusetts 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 $65 · 10th–90th $40$8910%20%10th90th$65Professionalmedian $51 · 10th–90th $35$760%20%40%10th90th$51$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$39.81
Typical High
$63.10
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$263.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$57.54
Typical High
$83.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$891.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
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
$61.66
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$77.62
Health New England
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$64.57
Typical High
$263.03
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$57.54
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$53.70
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$70.79