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

Montana 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?

$245

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $245 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $240 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$275$191 to $398
FacilityA hospital or hospital-owned outpatient department$240$200 to $417

How much rates vary

Facilitymedian $240 · 10th to 90th $200 to $575Professionalmedian $275 · 10th to 90th $93 to $427
$100$200$500facility $240professional $275

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
$93.33
Median
$275.42
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$426.58
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$426.58
Typical High
$426.58
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$229.09
Typical High
$575.44
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$229.09
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$309.03
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$257.04
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$346.74

Where Montana 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.

Montana· 27th of 51

$245

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.