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LO, Flexible, Off-the-Shelf

New York 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?

$36.31

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $36.31 for this service. The price depends on where it is billed: about $36.31 from a physician practice, and about $37.15 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 9 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$36.31$28.18 to $43.65
FacilityA hospital or hospital-owned outpatient department$37.15$22.39 to $50.12

How much rates vary

Facilitymedian $37 · 10th to 90th $11 to $68Professionalmedian $36 · 10th to 90th $22 to $79
$10$20$50$100$200facility $37professional $36

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
$5.75
Median
$28.18
Typical High
$67.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.18
Typical High
$64.57
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$75.86
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$97.72
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$46.77
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.90
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$42.66
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$61.66
Typical High
$144.54
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$38.90
Typical High
$70.79
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$45.71
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$39.81
Typical High
$43.65
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$35.48
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$34.67
Typical High
$87.10
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$35.48
Typical High
$63.10
Univera
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$45.71
Univera
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$39.81
Typical High
$43.65

Where New York 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 York· 10th of 51

$36.31

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.