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

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

Rates data updated July 2026.

How much does LO, Rigid Anterior and Posterior Panels, Off-the-Shelf cost?

$407

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $708 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$380$324 to $407
FacilityA hospital or hospital-owned outpatient department$708$407 to $1,202

How much rates vary

Facilitymedian $708 · 10th to 90th $302 to $2,512Professionalmedian $380 · 10th to 90th $245 to $407
$100$200$500$1K$2Kfacility $708professional $380

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
$245.47
Median
$245.47
Typical High
$245.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$363.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$407.38
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,148.15
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$398.11
Typical High
$446.68
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$2,511.89
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$478.63
Medica
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$302.00
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$218.78
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$218.78
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$257.04
Typical High
$501.19

Where Minnesota 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.

Minnesota· 3rd of 51

$407

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.