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

West 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?

$195

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $195 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 4 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$195$166 to $240
FacilityA hospital or hospital-owned outpatient department$195$195 to $209

How much rates vary

Facilitymedian $195 · 10th to 90th $195 to $417Professionalmedian $195 · 10th to 90th $135 to $324
$100$200$500$1Kfacility $195professional $195

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$194.98
Typical High
$275.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$416.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$218.78
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$436.52

Where West 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.

West Virginia· 43rd of 51

$195

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.