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Montana 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?

$155

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $166 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 5 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$145$120 to $219
FacilityA hospital or hospital-owned outpatient department$166$138 to $288

How much rates vary

Facilitymedian $166 · 10th to 90th $138 to $398Professionalmedian $145 · 10th to 90th $65 to $417
$100$200$500facility $166professional $145

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
Professional
Modifier
Global
Typical Low
$64.57
Median
$131.83
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$295.12
Typical High
$295.12
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$398.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$398.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$218.78
Typical High
$323.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$177.83
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$162.18
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$154.88
Typical High
$245.47

Where Montana 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.

Montana· 32nd of 51

$155

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.