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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.

How much does HCPCS L0649 cost?

$174

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $257 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 8 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$170$132 to $234
FacilityA hospital or hospital-owned outpatient department$257$170 to $407

How much rates vary

Facilitymedian $257 · 10th to 90th $151 to $676Professionalmedian $170 · 10th to 90th $100 to $339
$100$200$500$1Kfacility $257professional $170

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
$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

Where Iowa 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.

Iowa· 20th of 51

$174

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.