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

Hawaii 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?

$490

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $468 to $501.

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.

How much rates vary

Facilitymedian $380 · 10th to 90th $302 to $380Professionalmedian $490 · 10th to 90th $380 to $501
$500facility $380professional $490

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
Professional
Modifier
None
Typical Low
$169.82
Median
$275.42
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
HMSA
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$467.74
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$501.19
Typical High
$501.19
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$380.19
Typical High
$380.19

Where Hawaii 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.

Hawaii· 1st of 51

$490

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.