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

New Jersey 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?

$240

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $240 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $302 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$240$191 to $398
FacilityA hospital or hospital-owned outpatient department$302$282 to $302

How much rates vary

Facilitymedian $302 · 10th to 90th $170 to $331Professionalmedian $240 · 10th to 90th $170 to $398
$100$200$500facility $302professional $240

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$190.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$213.80
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$85.11
Median
$85.11
Typical High
$104.71
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$34.67
Median
$34.67
Typical High
$41.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.70
Median
$25.70
Typical High
$31.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.98
Median
$16.98
Typical High
$20.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$302.00
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$363.08
Typical High
$363.08
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Horizon BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
United
Setting
Facility
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$489.78
United
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$245.47
Typical High
$380.19

Where New Jersey 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.

New Jersey· 40th of 51

$240

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.