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LO, Rigid Posterior Panel, Off-the-Shelf

South Carolina 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 $34$930%20%10th90th$45Professionalmedian $40 · 10th–90th $31$650%20%10th90th$40$10.0$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
$33.88
Median
$33.88
Typical High
$33.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$35.48
Typical High
$63.10
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$63.10
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$77.62
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$77.62
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$67.61
Medcost
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$112.20
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$26.92
Molina
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$93.33
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$46.77
Typical High
$66.07