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

New Hampshire 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?

$269

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $331 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$269$269 to $282
FacilityA hospital or hospital-owned outpatient department$331$302 to $339

How much rates vary

Facilitymedian $331 · 10th to 90th $282 to $389Professionalmedian $269 · 10th to 90th $209 to $339
$200$500facility $331professional $269

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
$281.84
Median
$281.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$281.84
Typical High
$338.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
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
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$269.15
Typical High
$389.05
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$446.68

Where New Hampshire 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.

New Hampshire· 17th of 51

$269

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.