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LO, Flexible, Off-the-Shelf

New Jersey 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?

$30.20

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $30.20 from a physician practice, and about $21.88 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 5 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$30.20$21.88 to $36.31
FacilityA hospital or hospital-owned outpatient department$21.88$21.88 to $37.15

How much rates vary

Facilitymedian $22 · 10th to 90th $22 to $38Professionalmedian $30 · 10th to 90th $19 to $54
$10$20$50$100facility $22professional $30

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
$21.88
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$25.12
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$38.02
Typical High
$42.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$40.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$38.90
Typical High
$54.95
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$32.36
Typical High
$48.98

Where New Jersey 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.

New Jersey· 35th of 51

$30.20

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.