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LSO, Flexible, Off-the-Shelf

Georgia 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?

$53.70

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $53.70 from a physician practice, and about $64.57 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 6 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$53.70$38.02 to $81.28
FacilityA hospital or hospital-owned outpatient department$64.57$38.02 to $117

How much rates vary

Facilitymedian $65 · 10th to 90th $38 to $240Professionalmedian $54 · 10th to 90th $34 to $93
$50$100$200facility $65professional $54

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
$38.02
Median
$38.02
Typical High
$102.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$38.02
Typical High
$69.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$154.88
Typical High
$239.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$85.11
Typical High
$112.20
CareSource
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$53.70
Typical High
$53.70
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
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$64.57
Typical High
$186.21
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$75.86

Where Georgia 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.

Georgia· 18th of 51

$53.70

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.