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

Wyoming 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 October 2026.

How much does LO, Rigid Anterior and Posterior Panels, Off-the-Shelf cost?

$200

Typical negotiated rate. In Wyoming, October 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $200 to $219.

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.

How much rates vary

Facilitymedian $302 · 10th to 90th $257 to $302Professionalmedian $200 · 10th to 90th $200 to $257
$100$200facility $302professional $200

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$257.04
Typical High
$257.04
BCBS Wyoming
Setting
Professional
Modifier
None
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
BCBS Wyoming
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$218.78
Typical High
$302.00
United
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$218.78
Typical High
$245.47

Where Wyoming sits

The same service costs 2.6 times more in Hawaii than in Utah. 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.

Wyoming· 50th of 51

$200

HI $490UT $191

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.