go back

Lumbar-Sacral Orthosis (LSO), Sagittal Control

New Jersey 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?

$87.10

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $67.61 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$87.10$64.57 to $110
FacilityA hospital or hospital-owned outpatient department$67.61$67.61 to $110

How much rates vary

Facilitymedian $68 · 10th to 90th $68 to $129Professionalmedian $87 · 10th to 90th $54 to $158
$50$100$200facility $68professional $87

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
$67.61
Median
$67.61
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$109.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$128.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$114.82
Typical High
$158.49
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$158.49
Typical High
$158.49
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$109.65
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$147.91

Where New Jersey 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.

New Jersey· 33rd of 51

$87.10

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.