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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 October 2026.

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

$44.67

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $44.67 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $87.10 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$44.67$41.69 to $72.44
FacilityA hospital or hospital-owned outpatient department$87.10$54.95 to $145

How much rates vary

Facilitymedian $87 · 10th to 90th $24 to $275Professionalmedian $45 · 10th to 90th $24 to $417
$20$50$100$200facility $87professional $45

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$100.00
Typical High
$151.36
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$64.57
Median
$72.44
Typical High
$131.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$57.54
Medica
Setting
Facility
Modifier
None
Typical Low
$26.30
Median
$72.44
Typical High
$275.42
Medica
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$48.98
Typical High
$416.87
United
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$67.61

Where Arizona 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.

Arizona· 43rd of 51

$44.67

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.