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

Virginia 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?

$275

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $240 from a physician practice, and about $316 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 8 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$240$219 to $295
FacilityA hospital or hospital-owned outpatient department$316$282 to $372

How much rates vary

Facilitymedian $316 · 10th to 90th $219 to $490Professionalmedian $240 · 10th to 90th $148 to $417
$100$200$500$1Kfacility $316professional $240

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
$134.90
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$275.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$588.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
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
$208.93
Median
$331.13
Typical High
$524.81
Medcost
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$263.03
Typical High
$457.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$302.00
Typical High
$398.11
Sentara
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$645.65
Sentara
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$223.87
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$239.88
Typical High
$389.05

Where Virginia 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.

Virginia· 11th of 51

$275

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.