go back

Alaska 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 $69 · 10th–90th $69$3090%50%90th$69Professionalmedian $195 · 10th–90th $93$3630%10%10th90th$195$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
Professional
Modifier
Global
Typical Low
$79.43
Median
$147.91
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$354.81
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$97.72
Typical High
$309.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$309.03
Typical High
$489.78
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$309.03
Typical High
$331.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$331.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$302.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$213.80
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$162.18
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$257.04
Typical High
$416.87