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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.

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

$200

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $200 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 7 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$209$155 to $257
FacilityA hospital or hospital-owned outpatient department$200$115 to $275

How much rates vary

Facilitymedian $200 · 10th to 90th $100 to $427Professionalmedian $209 · 10th to 90th $115 to $316
$100$200$500facility $200professional $209

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
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

Where Colorado 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.

Colorado· 42nd of 51

$200

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.