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Georgia 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 $224 · 10th–90th $132$8130%20%10th90th$224Professionalmedian $186 · 10th–90th $117$3160%10%20%10th90th$186$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
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$346.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$131.83
Typical High
$234.42
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$524.81
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$380.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
CareSource
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
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
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$223.87
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$154.88
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$173.78
Typical High
$269.15