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South Carolina 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 $162 · 10th–90th $126$3470%20%10th90th$162Professionalmedian $148 · 10th–90th $112$2340%20%10th90th$148$50.0$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
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$131.83
Typical High
$234.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$218.78
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$245.47
Medcost
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$416.87
Medcost
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$181.97
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$245.47