go back

New York 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.

How much does HCPCS L0649 cost?

$195

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $200 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$148 to $219
FacilityA hospital or hospital-owned outpatient department$200$151 to $257

How much rates vary

Facilitymedian $200 · 10th to 90th $120 to $347Professionalmedian $195 · 10th to 90th $117 to $355
$100$500$2K$10K$50Kfacility $200professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$263.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$199.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$501.19
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$245.47
Typical High
$245.47
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$218.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$323.59
Typical High
$758.58
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$371.54
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$208.93
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$229.09
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$181.97
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$331.13
Univera
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$239.88
Univera
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$213.80
Typical High
$229.09

Where New York sits

The same service costs 3.6 times more in Kansas than in Washington, DC. 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 York· 8th of 51

$195

KS $339DC $93.33

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.