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LO, Rigid Posterior Panel, Off-the-Shelf

South Dakota 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 October 2026.

How much does LO, Rigid Posterior Panel, Off-the-Shelf cost?

$67.61

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $67.61 for this service. The price depends on where it is billed: about $67.61 from a physician practice, and about $89.13 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$67.61$52.48 to $79.43
FacilityA hospital or hospital-owned outpatient department$89.13$66.07 to $89.13

How much rates vary

Facilitymedian $89 · 10th to 90th $62 to $145Professionalmedian $68 · 10th to 90th $41 to $85
$10$20$50$100$200facility $89professional $68

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$85.11
Cigna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$83.18
Typical High
$85.11
Medica
Setting
Facility
Modifier
None
Typical Low
$66.07
Median
$89.13
Typical High
$144.54
Medica
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$57.54
Typical High
$389.05
Midlands
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Midlands
Setting
Professional
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$169.82
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$46.77
Typical High
$74.13
Wellmark
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86

Where South Dakota sits

The same service costs 2.6 times more in Hawaii than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 7th of 51

$67.61

HI $93.33UT $36.31

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.