go back

Indiana 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 $191 · 10th–90th $112$2950%50%10th90th$191Professionalmedian $155 · 10th–90th $102$2690%20%10th90th$155$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
$112.20
Median
$112.20
Typical High
$112.20
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$117.49
Typical High
$177.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$309.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$281.84
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$169.82
Typical High
$257.04