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

Iowa 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?

$257

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $251 from a physician practice, and about $363 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$251$186 to $355
FacilityA hospital or hospital-owned outpatient department$363$240 to $575

How much rates vary

Facilitymedian $363 · 10th to 90th $219 to $955Professionalmedian $251 · 10th to 90th $145 to $589
$100$200$500$1Kfacility $363professional $251

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
$190.55
Median
$245.47
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$229.09
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$467.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$489.78
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$524.81
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$831.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$489.78
Typical High
$1,071.52
Midlands
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$426.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$407.38
Typical High
$407.38

Where Iowa 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.

Iowa· 22nd of 51

$257

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.