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New Jersey 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 $813 · 10th–90th $447$1,0720%20%10th90th$813Professionalmedian $617 · 10th–90th $398$1,0470%10%10th90th$617$500.0$1.0K$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
$446.68
Median
$831.76
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$812.83
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$812.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,148.15
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$812.83
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$1,000.00