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LO, Flexible, Off-the-Shelf

Minnesota 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?

$53.70

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $95.50 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 6 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$53.70$44.67 to $53.70
FacilityA hospital or hospital-owned outpatient department$95.50$53.70 to $162

How much rates vary

Facilitymedian $95 · 10th to 90th $41 to $331Professionalmedian $54 · 10th to 90th $33 to $54
$20$50$100$200facility $95professional $54

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
$33.11
Median
$33.11
Typical High
$33.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$33.11
Typical High
$48.98
BCBS
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$53.70
Typical High
$81.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$53.70
Cigna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$154.88
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$53.70
Typical High
$60.26
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$169.82
Typical High
$331.13
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$64.57
Medica
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$40.74
Typical High
$181.97
Medica
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$29.51
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$0.47
Median
$29.51
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$34.67
Typical High
$67.61

Where Minnesota 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.

Minnesota· 3rd of 51

$53.70

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.