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LSO, Rigid Anterior and Posterior Panels, Off-the-Shelf

New Jersey rates for HCPCS L0648

Lumbar-sacral orthosis (LSO), sagittal control, with rigid anterior and posterior panels, 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, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $427 · 10th–90th $427$7590%50%90th$427Professionalmedian $525 · 10th–90th $339$1,0000%10%10th90th$525$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$467.74
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$758.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$1,023.29
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$954.99