go back

LO, Flexible, Off-the-Shelf

Massachusetts 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?

$36.31

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $81.28 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$36.31$28.18 to $38.02
FacilityA hospital or hospital-owned outpatient department$81.28$66.07 to $97.72

How much rates vary

Facilitymedian $81 · 10th to 90th $28 to $126Professionalmedian $36 · 10th to 90th $25 to $69
$10$50$200$1K$5Kfacility $81professional $36

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
$16.98
Median
$28.18
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$28.18
Typical High
$100.00
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$45.71
Typical High
$186.21
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$40.74
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$85.11
Typical High
$112.20
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
$52.48
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$54.95
Health New England
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$45.71
Typical High
$186.21
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$40.74
Typical High
$60.26
United
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$35.48
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$36.31
Typical High
$47.86

Where Massachusetts 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.

Massachusetts· 11th of 51

$36.31

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.