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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 July 2026.

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

$209

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $170 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 5 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$209$166 to $275
FacilityA hospital or hospital-owned outpatient department$170$170 to $282

How much rates vary

Facilitymedian $170 · 10th to 90th $170 to $302Professionalmedian $209 · 10th to 90th $135 to $398
$100$200$500facility $170professional $209

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
$169.82
Median
$169.82
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$190.55
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$302.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$407.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$281.84
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$245.47
Typical High
$380.19

Where New Jersey 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 Jersey· 37th of 51

$209

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.