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

Alaska 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.

How much does LO, Rigid Anterior and Posterior Panels, Off-the-Shelf cost?

$275

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $100 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$275$186 to $447
FacilityA hospital or hospital-owned outpatient department$100$100 to $437

How much rates vary

Facilitymedian $100 · 10th to 90th $100 to $447Professionalmedian $275 · 10th to 90th $162 to $525
$100$200$500$1Kfacility $100professional $275

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$208.93
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$501.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$141.25
Typical High
$446.68
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$446.68
Typical High
$707.95
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$446.68
Typical High
$467.74
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$436.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$302.00
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$602.56

Where Alaska sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. 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.

Alaska· 13th of 51

$275

HI $468DC $135

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.