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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.

How much does HCPCS L0649 cost?

$191

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $224 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$186$132 to $288
FacilityA hospital or hospital-owned outpatient department$224$132 to $407

How much rates vary

Facilitymedian $224 · 10th to 90th $132 to $813Professionalmedian $186 · 10th to 90th $117 to $316
$100$200$500facility $224professional $186

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Georgia 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.

Georgia· 12th of 51

$191

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.