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Oklahoma 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 $129 · 10th–90th $117$3550%20%40%10th90th$129Professionalmedian $155 · 10th–90th $117$2400%20%10th90th$155$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
$117.49
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$123.03
Typical High
$194.98
BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$223.87
Typical High
$223.87
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
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$812.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$165.96
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$239.88