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

Nevada 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 $79 · 10th–90th $79$2340%50%90th$79Professionalmedian $204 · 10th–90th $83$3720%10%10th90th$204$5.0$10.0$20.0$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$190.55
Typical High
$588.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$147.91
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$302.00
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$302.00
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$281.84
Select Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$218.78
Typical High
$346.74