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

Pennsylvania 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?

$1,096

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $2,818 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 8 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$1,096$955 to $1,380
FacilityA hospital or hospital-owned outpatient department$2,818$933 to $5,012

How much rates vary

Facilitymedian $2,818 · 10th to 90th $933 to $10,000Professionalmedian $1,096 · 10th to 90th $933 to $1,905
$1K$2K$5K$10K$20K$50Kfacility $2,818professional $1,096

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
$933.25
Median
$933.25
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,621.81
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,862.09
Typical High
$2,344.23
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
$1,288.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,019.95
Typical High
$4,365.16
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$2,344.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$3,630.78
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,096.48
Typical High
$1,905.46
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$8,128.31
Typical High
$13,182.57
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,187.76
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,818.38
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,122.02
Typical High
$2,344.23

Where Pennsylvania 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.

Pennsylvania· 48th of 51

$1,096

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.