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LO, Flexible, Off-the-Shelf

Illinois 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?

$27.54

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $27.54 for this service. The price depends on where it is billed: about $27.54 from a physician practice, and about $47.86 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 7 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$27.54$22.39 to $33.88
FacilityA hospital or hospital-owned outpatient department$47.86$28.84 to $97.72

How much rates vary

Facilitymedian $48 · 10th to 90th $22 to $257Professionalmedian $28 · 10th to 90th $22 to $49
$10$20$50$100$200$500facility $48professional $28

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
$11.75
Median
$31.62
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$23.44
Typical High
$36.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$27.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$165.96
Typical High
$380.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$27.54
Typical High
$27.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$60.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$46.77
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$66.07
Typical High
$91.20
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$42.66
United
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$29.51
Typical High
$48.98
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$48.98

Where Illinois 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.

Illinois· 40th of 51

$27.54

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.