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LSO, Flexible, Off-the-Shelf

Florida 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?

$48.98

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $53.70 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 7 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$48.98$41.69 to $64.57
FacilityA hospital or hospital-owned outpatient department$53.70$46.77 to $155

How much rates vary

Facilitymedian $54 · 10th to 90th $44 to $155Professionalmedian $49 · 10th to 90th $34 to $69
$50$100$200$500facility $54professional $49

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
$43.65
Median
$48.98
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$48.98
Typical High
$69.18
AvMed
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
AvMed
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$64.57
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$57.54
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$45.71
Typical High
$74.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$72.44
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$48.98
Typical High
$64.57
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$72.44
Typical High
$72.44

Where Florida 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.

Florida· 25th of 51

$48.98

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.