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

Florida 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 $275 · 10th–90th $214$7590%20%10th90th$275Professionalmedian $240 · 10th–90th $170$3390%20%10th90th$240$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
$213.80
Median
$239.88
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$239.88
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$354.81
Typical High
$794.33
AvMed
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
AvMed
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$316.23
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$302.00
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$346.74
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$316.23