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LO, Flexible, Off-the-Shelf

Utah 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?

$28.18

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $28.18 for this service. The price depends on where it is billed: about $28.18 from a physician practice, and about $24.55 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 7 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$19.05 to $38.02
FacilityA hospital or hospital-owned outpatient department$24.55$19.05 to $27.54

How much rates vary

Facilitymedian $25 · 10th to 90th $19 to $36Professionalmedian $28 · 10th to 90th $11 to $79
$10$20$50$100facility $25professional $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
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10.72
Median
$33.88
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$38.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$27.54
Typical High
$36.31
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$37.15
Select Health
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$28.18
Typical High
$54.95
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$28.18
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$28.18
Typical High
$41.69

Where Utah 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.

Utah· 39th of 51

$28.18

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.