go back

LO, Rigid Posterior Panel, Off-the-Shelf

Washington 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 $42 · 10th–90th $25$1350%20%10th90th$42Professionalmedian $31 · 10th–90th $22$980%10%10th90th$31$1.0$5.0$20.0$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
$30.90
Median
$30.90
Typical High
$72.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$30.90
Typical High
$112.20
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$50.12
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.92
Typical High
$66.07
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$85.11
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$69.18
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$77.62
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$74.13
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$38.90
Typical High
$64.57
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$38.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$25.12
Typical High
$25.70
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$26.92
Typical High
$66.07
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$69.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$39.81
Typical High
$66.07