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LO, Flexible, Off-the-Shelf

North Carolina 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?

$41.69

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $44.67 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$41.69$33.11 to $44.67
FacilityA hospital or hospital-owned outpatient department$44.67$31.62 to $53.70

How much rates vary

Facilitymedian $45 · 10th to 90th $28 to $87Professionalmedian $42 · 10th to 90th $22 to $45
$20$50$100$200$500facility $45professional $42

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
$30.90
Median
$33.11
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$44.67
Typical High
$44.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$75.86
Typical High
$102.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$45.71
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
$41.69
Medcost
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$33.11
Typical High
$43.65
Medcost
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$44.67
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$42.66
Typical High
$42.66
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$32.36
Typical High
$45.71
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42

Where North Carolina 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.

North Carolina· 5th of 51

$41.69

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.