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Texas 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 $191 · 10th–90th $110$9770%10%20%10th90th$191Professionalmedian $135 · 10th–90th $107$2040%20%40%10th90th$135$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$114.82
Median
$120.23
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$194.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$208.93
Typical High
$208.93
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
$213.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$199.53
Typical High
$436.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$128.82
Typical High
$208.93
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$208.93
Typical High
$436.52
Providence
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$194.98
Typical High
$239.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$288.40