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LO, Rigid Posterior Panel, Off-the-Shelf

Montana 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 $45 · 10th–90th $37$1100%20%10th90th$45Professionalmedian $45 · 10th–90th $17$1100%10%20%10th90th$45$10.0$20.0$50.0$100.0

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
$17.38
Median
$36.31
Typical High
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$81.28
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$81.28
Typical High
$81.28
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$43.65
Typical High
$109.65
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$43.65
Typical High
$109.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$58.88
Typical High
$89.13
Providence
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$79.43
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$44.67
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$41.69
Typical High
$66.07