go back

North Dakota 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 $257 · 10th–90th $174$3160%50%10th90th$257Professionalmedian $234 · 10th–90th $174$2630%20%10th90th$234$50.0$100.0$200.0$500.0$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
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$234.42
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$245.47
Typical High
$309.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$257.04
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$281.84