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New Mexico 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 $155 · 10th–90th $69$2950%10%10th90th$155Professionalmedian $162 · 10th–90th $81$2570%10%20%10th90th$162$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$194.98
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$229.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$316.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$204.17
Typical High
$309.03
Providence
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$120.23
Typical High
$223.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$154.88
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$169.82
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$154.88
Typical High
$239.88