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LO, Rigid Anterior and Posterior Panels, Off-the-Shelf

Nationwide rates for HCPCS L0642

Lumbar orthosis (LO), sagittal control, with rigid anterior and posterior panels, 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, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $166$9330%20%10th90th$339Professionalmedian $251 · 10th–90th $158$4170%20%10th90th$251$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$144.54
Median
$213.80
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$213.80
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$371.54
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$288.40
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$389.05