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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Idaho 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?

$95.50

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $95.50 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $100 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$93.33$64.57 to $129
FacilityA hospital or hospital-owned outpatient department$100$77.62 to $135

How much rates vary

Facilitymedian $100 · 10th to 90th $55 to $178Professionalmedian $93 · 10th to 90th $54 to $178
$50$100$200facility $100professional $93

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
Professional
Modifier
Global
Typical Low
$53.70
Median
$75.86
Typical High
$109.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$154.88
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$177.83
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$128.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$93.33
Typical High
$165.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$134.90
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$117.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$112.20
Select Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$213.80
Select Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$107.15
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$95.50
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$87.10
Typical High
$109.65

Where Idaho 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.

Idaho· 26th of 51

$95.50

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.