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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 July 2026.

Facilitymedian $398,107 · 10th–90th $56$891,2510%10%20%10th90th$398,107Professionalmedian $47 · 10th–90th $29$600%50%10th90th$47$0.1$2.0$50.0$1.0K$20.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$54.95
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$57.54
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$41.69
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$47.86
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$45.71
Typical High
$67.61