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Michigan 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?

$186

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $347 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$186$155 to $234
FacilityA hospital or hospital-owned outpatient department$347$214 to $631

How much rates vary

Facilitymedian $347 · 10th to 90th $191 to $813Professionalmedian $186 · 10th to 90th $112 to $309
$100$200$500$1Kfacility $347professional $186

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
$107.15
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$190.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$53.70
Median
$53.70
Typical High
$95.50
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$21.38
Median
$21.38
Typical High
$38.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$15.85
Median
$15.85
Typical High
$28.84
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$10.72
Median
$10.72
Typical High
$19.05
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$549.54
Typical High
$1,023.29
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$186.21
Typical High
$186.21
CareSource
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
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
$213.80
Typical High
$346.74
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$630.96
Typical High
$691.83
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$234.42
Typical High
$309.03
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$25.70
Typical High
$25.70
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$12.88
Typical High
$12.88
Priority Health
Setting
Facility
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Priority Health
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$213.80
Typical High
$346.74
United
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$346.74
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$165.96
Typical High
$257.04

Where Michigan 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.

Michigan· 27th of 51

$186

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.