go back

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

Massachusetts 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 $339 · 10th–90th $209$1,9950%20%10th90th$339Professionalmedian $269 · 10th–90th $191$4170%20%40%10th90th$269$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$208.93
Median
$208.93
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$338.84
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$1,380.38
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$436.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$575.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$323.59
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$407.38
Health New England
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$338.84
Typical High
$1,380.38
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$302.00
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$281.84
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$269.15
Typical High
$371.54