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LO, Rigid Posterior Panel, Off-the-Shelf

New Hampshire 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 $63 · 10th–90th $54$740%20%10th90th$63Professionalmedian $51 · 10th–90th $40$650%50%10th90th$51$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
$53.70
Median
$53.70
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$53.70
Typical High
$64.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$64.57
Typical High
$74.13
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
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
$52.48
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$42.66
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$51.29
Typical High
$74.13
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$85.11