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

Colorado 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 $200 · 10th–90th $100$4270%20%10th90th$200Professionalmedian $209 · 10th–90th $115$3160%20%10th90th$209$0.5$2.0$10.0$50.0$200.0$1.0K

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
$114.82
Median
$114.82
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$165.96
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$446.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$281.84
Typical High
$389.05
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
$323.59
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$512.86
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$776.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$389.05
Typical High
$436.52
Select Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$263.03
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$346.74