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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 July 2026.

Facilitymedian $151 · 10th–90th $117$7760%20%10th90th$151Professionalmedian $145 · 10th–90th $117$2290%20%10th90th$145$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
$117.49
Median
$117.49
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$190.55
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$144.54
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$245.47
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$426.58
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$269.15