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Iowa 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 $257 · 10th–90th $151$6760%10%10th90th$257Professionalmedian $170 · 10th–90th $100$3390%10%20%10th90th$170$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
$173.78
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$323.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$354.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$363.08
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$229.09
Typical High
$575.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$338.84
Typical High
$758.58
Midlands
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$263.03
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$281.84