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

Indiana 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?

$234

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $269 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 6 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$219$162 to $295
FacilityA hospital or hospital-owned outpatient department$269$240 to $295

How much rates vary

Facilitymedian $269 · 10th to 90th $162 to $417Professionalmedian $219 · 10th to 90th $148 to $389
$200$500facility $269professional $219

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
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$275.42
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$269.15
Typical High
$512.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$295.12
Typical High
$478.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$302.00
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$218.78
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$363.08

Where Indiana 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.

Indiana· 33rd of 51

$234

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.