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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 October 2026.

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

$81.28

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $95.50 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$81.28$50.12 to $93.33
FacilityA hospital or hospital-owned outpatient department$95.50$77.62 to $219

How much rates vary

Facilitymedian $95 · 10th to 90th $69 to $275Professionalmedian $81 · 10th to 90th $45 to $112
$50$100$200facility $95professional $81

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
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$39.81
Typical High
$60.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$93.33
Typical High
$109.65
Hally Health
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$61.66
Typical High
$112.20
Medica
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$95.50
Typical High
$275.42
Medica
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$87.10
Typical High
$213.80
Midlands
Setting
Professional
Modifier
None
Typical Low
$93.33
Median
$93.33
Typical High
$100.00
Midlands
Setting
Professional
Modifier
None
Typical Low
$104.71
Median
$169.82
Typical High
$169.82
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$83.18
Typical High
$117.49
United
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$234.42
United
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$50.12
Typical High
$89.13
Wellmark
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28

Where Iowa 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.

Iowa· 3rd of 51

$81.28

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.