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Minnesota 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

Facilitymedian $447 · 10th–90th $302–$2,2390%20%10th90th$447Professionalmedian $380 · 10th–90th $191–$4070%20%40%10th90th$380$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $223.87 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $407.38 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $1,148.15 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $398.11 / $446.68
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,122.02 / $2,238.72
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $478.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $302.00 / $1,348.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $218.78 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $218.78 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $257.04 / $501.19