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Kentucky 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?

$170

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $162 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 6 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$123 to $269
FacilityA hospital or hospital-owned outpatient department$162$129 to $234

How much rates vary

Facilitymedian $162 · 10th to 90th $129 to $302Professionalmedian $170 · 10th to 90th $98 to $269
$100$200$500facility $162professional $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
$128.82
Median
$128.82
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$223.87
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$269.15
Typical High
$269.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$295.12
Typical High
$380.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$269.15
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$302.00
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$275.42
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$288.40
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$239.88

Where Kentucky 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.

Kentucky· 25th of 51

$170

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.