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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Ohio 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?

$97.72

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $112 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 8 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$93.33$75.86 to $126
FacilityA hospital or hospital-owned outpatient department$112$107 to $132

How much rates vary

Facilitymedian $112 · 10th to 90th $74 to $186Professionalmedian $93 · 10th to 90th $55 to $162
$100$200facility $112professional $93

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
$54.95
Median
$109.65
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$66.07
Typical High
$97.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$112.20
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$181.97
CareSource
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$104.71
Typical High
$147.91
CareSource
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$138.04
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$134.90
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$173.78
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$199.53
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$102.33
Typical High
$165.96
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$138.04

Where Ohio 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.

Ohio· 23rd of 51

$97.72

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.