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LSO, Flexible, Off-the-Shelf

Arkansas 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?

$54.95

Typical negotiated rate. In Arkansas, October 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $54.95 from a physician practice, and about $57.54 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$54.95$50.12 to $72.44
FacilityA hospital or hospital-owned outpatient department$57.54$57.54 to $85.11

How much rates vary

Facilitymedian $58 · 10th to 90th $56 to $100Professionalmedian $55 · 10th to 90th $42 to $72
$20$50$100facility $58professional $55

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
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$56.23
Typical High
$56.23
BCBS Arkansas
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$60.26
Typical High
$72.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$32.36
Median
$41.69
Typical High
$57.54
United
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$46.77
Typical High
$67.61

Where Arkansas 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.

Arkansas· 22nd of 51

$54.95

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.