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Arizona 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 $204 · 10th–90th $69$5010%10%10th90th$204Professionalmedian $155 · 10th–90th $79$2570%20%10th90th$155$0.5$2.0$10.0$50.0$200.0$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
$138.04
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$263.03
Typical High
$501.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$239.88
Typical High
$489.78
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
$213.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$117.49
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$239.88