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Lumbo-Sacral, Hip, Femur Orthosis, Bilateral, Prefabricated

North Carolina rates for HCPCS L1690

Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does Lumbo-Sacral, Hip, Femur Orthosis, Bilateral, Prefabricated cost?

$1,905

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,905 for this service. The price depends on where it is billed: about $1,778 from a physician practice, and about $2,042 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,778$1,202 to $2,042
FacilityA hospital or hospital-owned outpatient department$2,042$1,288 to $2,455

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,000 to $3,981Professionalmedian $1,778 · 10th to 90th $1,023 to $2,042
$1K$2K$5K$10Kfacility $2,042professional $1,778

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$2,041.74
Typical High
$2,041.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,344.23
Typical High
$4,677.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,288.25
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,380.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$1,513.56
Medcost
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$2,041.74
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,905.46
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$1,621.81
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$16,982.44

Where North Carolina sits

The same service costs 2.7 times more in Kansas than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 10th of 51

$1,905

KS $2,512DC $933

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.