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Lumbar-Sacral Orthosis (LSO), Sagittal Control

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $97.72 for this service. Most negotiated rates run $89.13 to $112.

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.

How much rates vary

Facilitymedian $110 · 10th to 90th $68 to $129Professionalmedian $98 · 10th to 90th $87 to $129
$50$100$200facility $110professional $98

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
$87.10
Median
$97.72
Typical High
$112.20
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
$128.82
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$87.10
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$144.54
Typical High
$281.84

Where Vermont 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.

Vermont· 21st 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.