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New Jersey 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 October 2026.

How much does HCPCS L0649 cost?

$170

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $214 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$132 to $282
FacilityA hospital or hospital-owned outpatient department$214$195 to $214

How much rates vary

Facilitymedian $214 · 10th to 90th $120 to $214Professionalmedian $166 · 10th to 90th $120 to $282
$100$200facility $214professional $166

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$131.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$147.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$60.26
Median
$60.26
Typical High
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.99
Median
$23.99
Typical High
$29.51
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.78
Median
$17.78
Typical High
$21.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.02
Median
$12.02
Typical High
$14.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$213.80
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$257.04
Typical High
$257.04
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Horizon BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Facility
Modifier
None
Typical Low
$295.12
Median
$295.12
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$169.82
Typical High
$263.03

Where New Jersey sits

The same service costs 2.6 times more in Hawaii than in Utah. 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.

New Jersey· 37th of 51

$170

HI $347UT $132

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.