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

New York 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?

$1,288

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $1,445 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 9 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$1,288$1,122 to $1,862
FacilityA hospital or hospital-owned outpatient department$1,445$1,148 to $2,344

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,000 to $3,467Professionalmedian $1,288 · 10th to 90th $977 to $3,467
$1K$2K$5K$10K$20K$50Kfacility $1,445professional $1,288

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
$776.25
Median
$1,096.48
Typical High
$2,570.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$4,677.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$3,890.45
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,905.46
Typical High
$1,905.46
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$3,235.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,445.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,801.89
Typical High
$8,912.51
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,454.71
Typical High
$4,365.16
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,513.56
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$1,445.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,238.72
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$3,715.35
United
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,513.56
Typical High
$3,801.89
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$1,513.56
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,445.44
Typical High
$1,445.44

Where New York 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.

New York· 23rd of 51

$1,288

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.