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North Carolina 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 $234 · 10th–90th $120$5370%20%40%10th90th$234Professionalmedian $219 · 10th–90th $117$2340%50%10th90th$219$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
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$234.42
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$218.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$234.42
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$223.87
Typical High
$223.87
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$245.47
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44