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Nebraska 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 $229 · 10th–90th $151$9330%10%20%10th90th$229Professionalmedian $132 · 10th–90th $120$2040%20%40%10th90th$132$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
$158.49
Median
$158.49
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$204.17
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$707.95
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$275.42
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$269.15
Midlands
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$758.58
Midlands
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$707.95
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$218.78
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$169.82
Typical High
$263.03