go back

South Carolina 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 $676 · 10th–90th $550$1,4450%20%10th90th$676Professionalmedian $646 · 10th–90th $457$1,1480%20%10th90th$646$200.0$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
$549.54
Median
$549.54
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$562.34
Typical High
$1,122.02
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$1,949.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$537.03
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,023.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,737.80
Medcost
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$1,174.90