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LSO, Flexible, Off-the-Shelf

Iowa 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?

$50.12

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $50.12 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $74.13 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 8 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$50.12$38.02 to $69.18
FacilityA hospital or hospital-owned outpatient department$74.13$50.12 to $117

How much rates vary

Facilitymedian $74 · 10th to 90th $45 to $209Professionalmedian $50 · 10th to 90th $30 to $100
$50$100$200facility $74professional $50

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
$50.12
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$45.71
Typical High
$69.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$107.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$97.72
Typical High
$104.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$107.15
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$147.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$107.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$169.82
Typical High
$169.82
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$77.62
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$64.57
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$89.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$81.28
Typical High
$81.28

Where Iowa 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.

Iowa· 24th of 51

$50.12

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.