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LO, Flexible, Off-the-Shelf

Delaware rates for HCPCS L0625

Lumbar orthosis (LO), flexible, provides lumbar support, posterior extends from L-1 to below L-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does LO, Flexible, Off-the-Shelf cost?

$21.38

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $25.70 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 3 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$21.38$19.05 to $32.36
FacilityA hospital or hospital-owned outpatient department$25.70$5.25 to $31.62

How much rates vary

Facilitymedian $26 · 10th to 90th $5 to $56Professionalmedian $21 · 10th to 90th $19 to $69
$0.1$1$10facility $26professional $21

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$25.70
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$0.05
Median
$29.51
Typical High
$31.62
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$33.11
Typical High
$48.98

Where Delaware sits

The same service costs 3.5 times more in Hawaii 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.

Delaware· 50th of 51

$21.38

HI $63.10DC $18.20

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.