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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Georgia rates for HCPCS L0643

Lumbar-sacral orthosis (LSO), sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does Lumbar-Sacral Orthosis (LSO), Sagittal Control cost?

$107

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $126 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 6 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$105$74.13 to $162
FacilityA hospital or hospital-owned outpatient department$126$74.13 to $229

How much rates vary

Facilitymedian $126 · 10th to 90th $74 to $457Professionalmedian $105 · 10th to 90th $66 to $178
$100$200$500facility $126professional $105

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
$74.13
Median
$74.13
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$74.13
Typical High
$131.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$302.00
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$213.80
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$97.72
Typical High
$154.88

Where Georgia sits

The same service costs 3.6 times more in Kansas 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.

Georgia· 15th of 51

$107

KS $195DC $53.70

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.