go back

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

Georgia 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?

$282

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $282 for this service. The price depends on where it is billed: about $282 from a physician practice, and about $316 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$282$186 to $417
FacilityA hospital or hospital-owned outpatient department$316$186 to $575

How much rates vary

Facilitymedian $316 · 10th to 90th $186 to $1,175Professionalmedian $282 · 10th to 90th $170 to $490
$200$500$1Kfacility $316professional $282

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
$186.21
Median
$186.21
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$489.78
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$457.09
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$758.58
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$549.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
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
$426.58
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$251.19
Typical High
$389.05

Where Georgia 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.

Georgia· 10th of 51

$282

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.