go back

Pennsylvania 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?

$138

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $224 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 8 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$135$112 to $170
FacilityA hospital or hospital-owned outpatient department$224$100 to $389

How much rates vary

Facilitymedian $224 · 10th to 90th $100 to $389Professionalmedian $135 · 10th to 90th $100 to $204
$100$500$2K$10K$50Kfacility $224professional $135

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
$100.00
Median
$100.00
Typical High
$389.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$204.17
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$213.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$371.54
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$138.04
Typical High
$194.98
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$389.05
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$204.17
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$245.47
Typical High
$691.83
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$346.74
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$295.12

Where Pennsylvania 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.

Pennsylvania· 42nd of 51

$138

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.