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

Oregon 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 $138 · 10th–90th $138$3890%50%90th$138Professionalmedian $219 · 10th–90th $138$3890%20%10th90th$219$0.5$2.0$10.0$50.0$200.0$1.0K

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
$302.00
Median
$302.00
Typical High
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$524.81
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
$218.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$302.00
Typical High
$363.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$316.23
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$380.19
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$162.18
Typical High
$426.58
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$213.80
Typical High
$389.05
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$389.05
Typical High
$758.58
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$218.78
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$218.78
Typical High
$346.74