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Maine 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?

$191

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $191 for this service. The price depends on where it is billed: about $191 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 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$191$155 to $195
FacilityA hospital or hospital-owned outpatient department$257$214 to $257

How much rates vary

Facilitymedian $257 · 10th to 90th $178 to $295Professionalmedian $191 · 10th to 90th $120 to $204
$100$200$500facility $257professional $191

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$204.17
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$213.80
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$229.09
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$151.36
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$151.36
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$190.55
Typical High
$281.84

Where Maine 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.

Maine· 16th of 51

$191

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.