go back

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

Washington, DC 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 October 2026.

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

$263

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $209 to $302.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $135 · 10th to 90th $135 to $331Professionalmedian $263 · 10th to 90th $135 to $316
$200$500facility $135professional $263

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$338.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$67.61
Median
$67.61
Typical High
$120.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$26.92
Median
$26.92
Typical High
$47.86
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$20.42
Median
$20.42
Typical High
$35.48
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$13.49
Median
$13.49
Typical High
$23.99
CareFirst
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$302.00
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$239.88
Typical High
$691.83
United
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$239.88
Typical High
$295.12

Where Washington, DC sits

The same service costs 2.6 times more in Hawaii than in Utah. 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.

Washington, DC· 29th of 51

$263

HI $490UT $191

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.