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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 July 2026.

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

$468

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $468 for this service. Most negotiated rates run $275 to $468.

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 $275 · 10th to 90th $219 to $380Professionalmedian $468 · 10th to 90th $170 to $490
$200$500facility $275professional $468

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
$165.96
Median
$169.82
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$588.84
HMSA
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$489.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$223.87
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$371.54
Typical High
$602.56

Where Hawaii 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.

Hawaii· 1st of 51

$468

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.