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LO, Flexible, Off-the-Shelf

South 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?

$30.20

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $41.69 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$28.18$23.99 to $44.67
FacilityA hospital or hospital-owned outpatient department$41.69$27.54 to $53.70

How much rates vary

Facilitymedian $42 · 10th to 90th $24 to $60Professionalmedian $28 · 10th to 90th $22 to $45
$20$50$100facility $42professional $28

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
$23.99
Median
$41.69
Typical High
$53.70
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$25.12
Typical High
$44.67
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20.89
Median
$42.66
Typical High
$120.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$54.95
Typical High
$72.44
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
$46.77
Medcost
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$41.69
Typical High
$81.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$35.48
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$33.11
Typical High
$44.67

Where South 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.

South Carolina· 34th 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.