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Connecticut 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.

How much does HCPCS L0649 cost?

$162

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $204 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$145 to $195
FacilityA hospital or hospital-owned outpatient department$204$174 to $224

How much rates vary

Facilitymedian $204 · 10th to 90th $126 to $224Professionalmedian $162 · 10th to 90th $120 to $257
$100$200$500facility $204professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$147.91
Typical High
$354.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$223.87
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$213.80
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$162.18
Typical High
$309.03
Health New England
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$257.04

Where Connecticut sits

The same service costs 3.6 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Connecticut· 29th of 51

$162

KS $339DC $93.33

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.