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LSO, Flexible, Off-the-Shelf

Alaska rates for HCPCS L0628

Lumbar-sacral orthosis (LSO), flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to T-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does LSO, Flexible, Off-the-Shelf cost?

$53.70

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $28.84 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$53.70$38.02 to $91.20
FacilityA hospital or hospital-owned outpatient department$28.84$28.84 to $81.28

How much rates vary

Facilitymedian $29 · 10th to 90th $29 to $91Professionalmedian $54 · 10th to 90th $33 to $107
$50$100$200facility $29professional $54

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
Professional
Modifier
Global
Typical Low
$23.44
Median
$42.66
Typical High
$81.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$102.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$91.20
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$91.20
Typical High
$144.54
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$91.20
Typical High
$95.50
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$91.20
Typical High
$95.50
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$81.28
Providence
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$60.26
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$47.86
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$74.13
Typical High
$245.47

Where Alaska 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.

Alaska· 17th of 51

$53.70

HI $95.50DC $27.54

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.