go back

LO, Flexible, Off-the-Shelf

West Virginia 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 West Virginia, July 2026.

Insurers have agreed to pay about $26.30 for this service. The price depends on where it is billed: about $26.30 from a physician practice, and about $26.30 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 4 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$26.30$22.39 to $32.36
FacilityA hospital or hospital-owned outpatient department$26.30$26.30 to $29.51

How much rates vary

Facilitymedian $26 · 10th to 90th $26 to $56Professionalmedian $26 · 10th to 90th $18 to $41
$20$50$100facility $26professional $26

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$26.30
Typical High
$32.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$56.23
CareSource
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$50.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$29.51
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.11
Typical High
$53.70

Where West Virginia 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.

West Virginia· 43rd 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.