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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 October 2026.

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

$91.20

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $81.28 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$91.20$74.13 to $91.20
FacilityA hospital or hospital-owned outpatient department$81.28$57.54 to $91.20

How much rates vary

Facilitymedian $81 · 10th to 90th $42 to $95Professionalmedian $91 · 10th to 90th $42 to $95
$50$100$200facility $81professional $91

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$81.28
Typical High
$81.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$102.33
Moda Health
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$91.20
Typical High
$114.82
Moda Health
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$91.20
Typical High
$95.50
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$95.50
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$91.20
Typical High
$93.33
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$81.28
Median
$91.20
Typical High
$91.20
Providence
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$64.57
Typical High
$114.82
Providence
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$57.54
Typical High
$102.33
United
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$74.13
Typical High
$123.03

Where Alaska sits

The same service costs 3.2 times more in Hawaii than in Utah. 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· 2nd of 51

$91.20

HI $95.50UT $30.20

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.