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LO, Rigid Posterior Panel, Off-the-Shelf

New Jersey 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 $32 · 10th–90th $32$540%50%90th$32Professionalmedian $42 · 10th–90th $26$760%10%10th90th$42$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
$32.36
Median
$32.36
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$35.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$52.48
Typical High
$53.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$52.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$56.23
Typical High
$77.62
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$75.86
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$77.62
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$45.71
Typical High
$72.44