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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.

How much does HCPCS L0649 cost?

$195

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $170 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$170$155 to $204
FacilityA hospital or hospital-owned outpatient department$224$195 to $263

How much rates vary

Facilitymedian $224 · 10th to 90th $151 to $347Professionalmedian $170 · 10th to 90th $100 to $295
$100$200$500facility $224professional $170

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
$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

Where Virginia 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.

Virginia· 11th of 51

$195

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.