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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Illinois 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?

$81.28

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $87.10 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$81.28$67.61 to $97.72
FacilityA hospital or hospital-owned outpatient department$87.10$66.07 to $145

How much rates vary

Facilitymedian $87 · 10th to 90th $66 to $437Professionalmedian $81 · 10th to 90th $66 to $129
$50$100$200$500$1Kfacility $87professional $81

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
$66.07
Median
$66.07
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$67.61
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$81.28
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$138.04
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$162.18
Typical High
$213.80
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$87.10
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$151.36

Where Illinois 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.

Illinois· 36th of 51

$81.28

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.