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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 July 2026.

Facilitymedian $295 · 10th–90th $129$7410%20%10th90th$295Professionalmedian $174 · 10th–90th $117$2450%20%40%10th90th$174$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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$549.54
Typical High
$1,071.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$186.21
Typical High
$194.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
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
$213.80
Typical High
$346.74
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$616.60
Typical High
$691.83
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$234.42
Typical High
$309.03
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$162.18
Typical High
$269.15