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LO, Rigid Posterior Panel, Off-the-Shelf

Minnesota 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 $135 · 10th–90th $58$4680%20%10th90th$135Professionalmedian $74 · 10th–90th $47$760%50%10th90th$74$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
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$46.77
Typical High
$53.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$75.86
Typical High
$85.11
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$239.88
Typical High
$467.74
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$91.20
Medica
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$57.54
Typical High
$257.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$41.69
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$41.69
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$52.48
Typical High
$95.50