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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Oregon 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?

$74.13

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $53.70 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$79.43$60.26 to $110
FacilityA hospital or hospital-owned outpatient department$53.70$53.70 to $81.28

How much rates vary

Facilitymedian $54 · 10th to 90th $54 to $155Professionalmedian $79 · 10th to 90th $55 to $151
$50$100$200facility $54professional $79

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
Professional
Modifier
Global
Typical Low
$56.23
Median
$75.86
Typical High
$109.65
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
$93.33
Typical High
$93.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$117.49
Typical High
$144.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$123.03
Typical High
$144.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$77.62
Typical High
$151.36
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$151.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$64.57
Typical High
$165.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$151.36
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$154.88
Typical High
$295.12
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$61.66
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$0.14
Median
$87.10
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$87.10
Typical High
$138.04

Where Oregon 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.

Oregon· 47th of 51

$74.13

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.