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

Maryland 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?

$195

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $135 to $275.

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.

How much rates vary

Facilitymedian $257 · 10th to 90th $170 to $302Professionalmedian $195 · 10th to 90th $135 to $339
$100$200$500facility $257professional $195

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
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$338.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$302.00
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
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$281.84
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$251.19
Typical High
$380.19
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$269.15
Typical High
$269.15

Where Maryland 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.

Maryland· 46th of 51

$195

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.