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

New Mexico 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 $219 · 10th–90th $100$3160%10%10th90th$219Professionalmedian $234 · 10th–90th $117$3550%20%10th90th$234$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$275.42
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$331.13
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
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$524.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$162.18
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$218.78
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$239.88
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$346.74