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LO, Rigid Posterior Panel, Off-the-Shelf

Nebraska 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 $62 · 10th–90th $42$2570%10%20%10th90th$62Professionalmedian $35 · 10th–90th $32$1120%20%10th90th$35$20.0$50.0$100.0$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
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$35.48
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$56.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$75.86
Typical High
$257.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$46.77
Typical High
$97.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$85.11
Typical High
$204.17
Midlands
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Midlands
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$190.55
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$58.88
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$72.44