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

North Carolina 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?

$331

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $339 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 7 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$331$275 to $339
FacilityA hospital or hospital-owned outpatient department$339$257 to $398

How much rates vary

Facilitymedian $339 · 10th to 90th $174 to $676Professionalmedian $331 · 10th to 90th $174 to $398
$100$200$500$1Kfacility $339professional $331

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
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$338.84
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$309.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$323.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$338.84
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$316.23
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$363.08
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30

Where North Carolina 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.

North Carolina· 5th of 51

$331

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.