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Indiana rates for HCPCS L0650

Lumbar-sacral orthosis (LSO), sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to T-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated July 2026.

Facilitymedian $776 · 10th–90th $479$1,2590%50%10th90th$776Professionalmedian $708 · 10th–90th $417$1,0960%10%20%10th90th$708$1.0$5.0$20.0$100.0$500.0$2.0K

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
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$537.03
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,174.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,288.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$812.83
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$1,000.00
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$741.31
Typical High
$1,148.15