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LO, Flexible, Off-the-Shelf

Montana 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 Montana, 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 $36.31 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$35.48$26.30 to $52.48
FacilityA hospital or hospital-owned outpatient department$36.31$26.30 to $52.48

How much rates vary

Facilitymedian $36 · 10th to 90th $26 to $81Professionalmedian $35 · 10th to 90th $19 to $79
$10$100$1K$10K$100Kfacility $36professional $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
Professional
Modifier
Global
Typical Low
$12.30
Median
$35.48
Typical High
$131.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$69,183.10
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$57.54
Typical High
$57.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$31.62
Typical High
$56.23
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$31.62
Typical High
$56.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$41.69
Typical High
$72.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$57.54
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$31.62
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$29.51
Typical High
$45.71

Where Montana 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.

Montana· 15th 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.