go back

Montana 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 $708 · 10th–90th $575$1,7380%20%10th90th$708Professionalmedian $794 · 10th–90th $457$1,6980%20%10th90th$794$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$457.09
Median
$794.33
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,122.02
Typical High
$1,122.02
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$1,621.81
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$891.25
Typical High
$1,258.93
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$724.44
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$676.08
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$630.96
Typical High
$1,000.00