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Vermont 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 $120$2140%20%40%10th90th$191Professionalmedian $170 · 10th–90th $151$2140%20%40%10th90th$170$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$169.82
Typical High
$199.53
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
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$263.03
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$257.04
Typical High
$501.19