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

Utah 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 $479 · 10th–90th $479$6760%50%90th$479Professionalmedian $550 · 10th–90th $263$1,4790%10%10th90th$550$50.0$100.0$200.0$500.0$1.0K

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
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$645.65
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$758.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$275.42
Typical High
$1,023.29
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$512.86
Typical High
$676.08
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$691.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Select Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$524.81
Typical High
$1,023.29
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$524.81
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$524.81
Typical High
$776.25