go back

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

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $263 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 8 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$257$162 to $347
FacilityA hospital or hospital-owned outpatient department$263$200 to $302

How much rates vary

Facilitymedian $263 · 10th to 90th $141 to $447Professionalmedian $257 · 10th to 90th $135 to $447
$100$200$500facility $263professional $257

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
$128.82
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$257.04
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$389.05
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$446.68
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$302.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$239.88
Typical High
$426.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$346.74
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$295.12
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$281.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$537.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$239.88
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$275.42

Where Idaho 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.

Idaho· 21st 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.