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LO, Flexible, Off-the-Shelf

Michigan 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?

$35.48

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $35.48 from a physician practice, and about $29.51 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$35.48$25.12 to $35.48
FacilityA hospital or hospital-owned outpatient department$29.51$16.98 to $89.13

How much rates vary

Facilitymedian $30 · 10th to 90th $10 to $513Professionalmedian $35 · 10th to 90th $22 to $48
$10$20$50$100$200$500facility $30professional $35

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
$10.23
Median
$25.12
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.70
Typical High
$35.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$107.15
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$37.15
CareSource
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
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
$41.69
Typical High
$66.07
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$120.23
Typical High
$141.25
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$43.65
Typical High
$64.57
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$54.95
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$36.31
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$30.90
Typical High
$47.86

Where Michigan 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.

Michigan· 16th of 51

$35.48

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.