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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Iowa 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?

$97.72

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $97.72 from a physician practice, and about $145 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$97.72$74.13 to $132
FacilityA hospital or hospital-owned outpatient department$145$95.50 to $229

How much rates vary

Facilitymedian $145 · 10th to 90th $87 to $380Professionalmedian $98 · 10th to 90th $56 to $178
$50$100$200$500facility $145professional $98

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
$97.72
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$181.97
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$177.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$204.17
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$128.82
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$426.58
Midlands
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$229.09
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$309.03
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$97.72
Typical High
$169.82
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$158.49

Where Iowa 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.

Iowa· 22nd of 51

$97.72

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.