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Illinois 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 October 2026.

How much does HCPCS L0649 cost?

$151

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $257 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$145$129 to $186
FacilityA hospital or hospital-owned outpatient department$257$214 to $417

How much rates vary

Facilitymedian $257 · 10th to 90th $214 to $1,479Professionalmedian $145 · 10th to 90th $117 to $316
$100$200$500$1K$2Kfacility $257professional $145

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$190.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$117.49
Typical High
$151.36
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$58.88
Median
$58.88
Typical High
$75.86
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.44
Median
$23.44
Typical High
$30.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$17.38
Typical High
$22.91
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.75
Median
$11.75
Typical High
$15.14
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$229.09
Median
$275.42
Typical High
$2,290.87
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$213.80
Hally Health
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$257.04
Typical High
$426.58
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Molina
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$269.15
Typical High
$269.15
United
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$416.87
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$173.78
Typical High
$407.38

Where Illinois sits

The same service costs 2.6 times more in Hawaii than in Utah. 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.

Illinois· 48th of 51

$151

HI $347UT $132

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.