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LO, Rigid Posterior Panel, Off-the-Shelf

Utah 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 $36 · 10th–90th $36$510%50%90th$36Professionalmedian $40 · 10th–90th $15$1120%10%10th90th$40$10.0$20.0$50.0$100.0

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
$36.31
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$36.31
Typical High
$112.20
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
Molina
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$77.62
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$38.90
Typical High
$51.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$52.48
Select Health
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$39.81
Typical High
$77.62
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$39.81
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$41.69
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$39.81
Typical High
$66.07