go back

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

North Dakota 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 $363 · 10th–90th $245$4570%50%10th90th$363Professionalmedian $302 · 10th–90th $219$3720%10%20%10th90th$302$100.0$200.0$500.0$1.0K$2.0K

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
$245.47
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$524.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$436.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$363.08
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$407.38