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LO, Flexible, Off-the-Shelf

Tennessee 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?

$26.30

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $25.12 from a physician practice, and about $33.11 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$25.12$23.44 to $35.48
FacilityA hospital or hospital-owned outpatient department$33.11$26.30 to $64.57

How much rates vary

Facilitymedian $33 · 10th to 90th $26 to $186Professionalmedian $25 · 10th to 90th $23 to $43
$10$20$50$100$200$500$1Kfacility $33professional $25

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
$23.44
Median
$26.30
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$25.12
Typical High
$38.90
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$38.02
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$33.11
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$31.62
Typical High
$42.66

Where Tennessee 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.

Tennessee· 45th of 51

$26.30

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.