go back

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

Wisconsin 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 $676 · 10th–90th $661$1,2300%50%10th90th$676Professionalmedian $631 · 10th–90th $407$1,0720%20%40%10th90th$631$1.0$5.0$20.0$100.0$500.0$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
$407.38
Median
$407.38
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,122.02
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,754.23
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,122.02
Typical High
$1,258.93
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$1,023.29
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$741.31
Typical High
$3,388.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$645.65
Typical High
$1,412.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$70.79
Typical High
$131.83
Network Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$1,071.52
Typical High
$1,659.59
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$660.69
Typical High
$1,023.29
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$660.69
Quartz
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,513.56
Quartz
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,380.38
Typical High
$3,467.37
Quartz
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,230.27
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$977.24