go back

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

Mississippi 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 $355 · 10th–90th $182$4900%20%40%10th90th$355Professionalmedian $234 · 10th–90th $166$2950%10%20%10th90th$234$100.0$200.0$500.0

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
$181.97
Median
$181.97
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$218.78
Typical High
$295.12
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
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
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$239.88
Typical High
$371.54