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Minnesota 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 $501 · 10th–90th $214$1,7380%10%20%10th90th$501Professionalmedian $275 · 10th–90th $174$2820%50%10th90th$275$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
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$812.83
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$281.84
Typical High
$316.23
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$891.25
Typical High
$1,737.80
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$338.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$213.80
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$151.36
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$181.97
Typical High
$354.81