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

Kansas 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.

Facilitymedian $309 · 10th–90th $100$4470%20%10th90th$309Professionalmedian $417 · 10th–90th $186$4170%50%10th$417$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$416.87
Typical High
$446.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
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
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$269.15
Typical High
$1,174.90
Medica
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$380.19