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LSO, Flexible, Off-the-Shelf

Arizona 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?

$44.67

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $60.26 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 5 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$42.66$33.11 to $53.70
FacilityA hospital or hospital-owned outpatient department$60.26$30.20 to $107

How much rates vary

Facilitymedian $60 · 10th to 90th $24 to $174Professionalmedian $43 · 10th to 90th $23 to $83
$20$50$100$200facility $60professional $43

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
Facility
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$40.74
Typical High
$53.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$93.33
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$87.10
Typical High
$173.78
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
$57.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$53.70
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$48.98
Typical High
$61.66
United
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$44.67
Typical High
$67.61

Where Arizona 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.

Arizona· 33rd of 51

$44.67

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.