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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Michigan 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?

$105

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $105 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $166 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 7 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 $110
FacilityA hospital or hospital-owned outpatient department$166$85.11 to $316

How much rates vary

Facilitymedian $166 · 10th to 90th $74 to $417Professionalmedian $105 · 10th to 90th $66 to $135
$2$10$50$200$1Kfacility $166professional $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
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$74.13
Typical High
$109.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$316.23
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$107.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
$128.82
Typical High
$194.98
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$354.81
Typical High
$389.05
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$131.83
Typical High
$173.78
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$107.15
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$91.20
Typical High
$151.36

Where Michigan 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.

Michigan· 18th of 51

$105

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.