go back

Virginia 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 $224 · 10th–90th $151$3470%20%40%10th90th$224Professionalmedian $170 · 10th–90th $100$2950%20%40%10th90th$170$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
Facility
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$194.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$407.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
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
$147.91
Median
$229.09
Typical High
$363.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$186.21
Typical High
$323.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$208.93
Typical High
$275.42
Sentara
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$446.68
Sentara
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$263.03
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$169.82
Typical High
$269.15