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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $107 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $135 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 9 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$107$83.18 to $107
FacilityA hospital or hospital-owned outpatient department$135$83.18 to $550

How much rates vary

Facilitymedian $135 · 10th to 90th $83 to $7,413Professionalmedian $107 · 10th to 90th $74 to $158
$50$200$1K$5K$20Kfacility $135professional $107

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$131.83
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$549.54
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$173.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$22,387.21
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
$138.04
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$162.18
Health New England
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$134.90
Typical High
$549.54
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$120.23
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$109.65
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$107.15
Typical High
$147.91

Where Massachusetts 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.

Massachusetts· 17th 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.