go back

LO, Rigid Posterior Panel, Off-the-Shelf

Oklahoma 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 $35 · 10th–90th $32$980%20%40%10th90th$35Professionalmedian $49 · 10th–90th $32$630%20%10th90th$49$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
$31.62
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$33.88
Typical High
$52.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
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
$58.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$41.69
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$44.67
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$57.54
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$41.69
Typical High
$66.07