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LO, Flexible, Off-the-Shelf

Hawaii 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?

$63.10

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $63.10 for this service. Most negotiated rates run $35.48 to $63.10.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $37 · 10th to 90th $30 to $51Professionalmedian $63 · 10th to 90th $22 to $66
$20$50$100facility $37professional $63

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
Professional
Modifier
Global
Typical Low
$21.88
Median
$22.39
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$42.66
Typical High
$51.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$77.62
HMSA
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$66.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$63.10
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$45.71
Typical High
$81.28

Where Hawaii 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.

Hawaii· 1st of 51

$63.10

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.