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Oregon 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 $95 · 10th–90th $95$2750%50%90th$95Professionalmedian $138 · 10th–90th $95$2690%20%10th90th$138$0.5$2.0$10.0$50.0$200.0$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
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$194.98
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
$154.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$208.93
Typical High
$257.04
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$218.78
Typical High
$257.04
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$138.04
Typical High
$269.15
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$275.42
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$295.12
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$269.15
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$269.15
Typical High
$524.81
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$107.15
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$0.25
Median
$151.36
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$154.88
Typical High
$239.88