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Nationwide rates for HCPCS L0649

Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $117$6460%20%10th90th$240Professionalmedian $170 · 10th–90th $110$2880%20%10th90th$170$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$100.00
Median
$147.91
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$645.65
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$194.98
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$263.03