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Lumbar-Sacral Orthosis (LSO), Sagittal Control

North Dakota 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?

$132

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $145 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 5 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$132$100 to $145
FacilityA hospital or hospital-owned outpatient department$145$97.72 to $145

How much rates vary

Facilitymedian $145 · 10th to 90th $98 to $182Professionalmedian $132 · 10th to 90th $98 to $148
$50$100$200$500facility $145professional $132

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
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$109.65
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$138.04
Typical High
$173.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$144.54
Typical High
$426.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$123.03
Typical High
$158.49

Where North Dakota 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.

North Dakota· 5th of 51

$132

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.