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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 October 2026.

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

$398

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $398 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $427 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$219 to $427
FacilityA hospital or hospital-owned outpatient department$427$263 to $12,023

How much rates vary

Facilitymedian $427 · 10th to 90th $209 to $12,303Professionalmedian $372 · 10th to 90th $79 to $427
$100$200$500$1K$2K$5K$10Kfacility $427professional $372

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$257.04
Typical High
$295.12
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$426.58
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$281.84
Typical High
$12,882.50
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$263.03
Typical High
$12,882.50
Providence
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$426.58
Typical High
$426.58
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$234.42
Typical High
$426.58
United
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$218.78
Typical High
$371.54

Where Montana sits

The same service costs 2.6 times more in Hawaii than in Utah. 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· 5th of 51

$398

HI $490UT $191

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.