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

Connecticut 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?

$234

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $295 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$234$204 to $282
FacilityA hospital or hospital-owned outpatient department$295$245 to $316

How much rates vary

Facilitymedian $295 · 10th to 90th $182 to $316Professionalmedian $234 · 10th to 90th $170 to $398
$200$500facility $295professional $234

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$501.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$446.68
Health New England
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$239.88
Typical High
$371.54

Where Connecticut 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.

Connecticut· 32nd of 51

$234

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.