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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Rhode Island 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?

$93.33

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $269 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 4 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$83.18 to $117
FacilityA hospital or hospital-owned outpatient department$269$195 to $339

How much rates vary

Facilitymedian $269 · 10th to 90th $110 to $389Professionalmedian $93 · 10th to 90th $74 to $120
$100$200$500facility $269professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$117.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$151.36
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
United
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$151.36

Where Rhode Island 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.

Rhode Island· 29th of 51

$93.33

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.