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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Minnesota 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?

$158

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $282 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$155$129 to $158
FacilityA hospital or hospital-owned outpatient department$282$158 to $468

How much rates vary

Facilitymedian $282 · 10th to 90th $120 to $977Professionalmedian $155 · 10th to 90th $98 to $158
$50$100$200$500$1Kfacility $282professional $155

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
$97.72
Median
$97.72
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$97.72
Typical High
$144.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$158.49
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$158.49
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$457.09
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$158.49
Typical High
$177.83
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$501.19
Typical High
$977.24
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$120.23
Typical High
$537.03
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$87.10
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$87.10
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$102.33
Typical High
$199.53

Where Minnesota 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.

Minnesota· 3rd of 51

$158

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.