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

Washington 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 $537 · 10th–90th $331$1,7380%20%10th90th$537Professionalmedian $407 · 10th–90th $288$1,2020%10%10th90th$407$10.0$50.0$200.0$1.0K$5.0K

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
$407.38
Median
$407.38
Typical High
$954.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$1,000.00
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$660.69
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$870.96
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$1,071.52
Typical High
$2,511.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$891.25
Typical High
$1,862.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$1,023.29
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$977.24
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$512.86
Typical High
$851.14
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$512.86
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$338.84
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$1,479.11
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$549.54
Typical High
$912.01
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$524.81
Typical High
$870.96