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LSO, Flexible, Off-the-Shelf

Idaho 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?

$52.48

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $57.54 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$41.69 to $83.18
FacilityA hospital or hospital-owned outpatient department$57.54$42.66 to $93.33

How much rates vary

Facilitymedian $58 · 10th to 90th $41 to $135Professionalmedian $52 · 10th to 90th $30 to $91
$50$100$200$500$1K$2Kfacility $58professional $52

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
$33.11
Median
$52.48
Typical High
$52.48
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$87.10
Typical High
$131.83
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$87.10
Typical High
$91.20
BCBS Idaho
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$53.70
Median
$60.26
Typical High
$64.57
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$61.66
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$57.54
Moda Health
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$42.66
Typical High
$56.23
Moda Health
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$44.67
Typical High
$52.48
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$58.88
Typical High
$70.79
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$63.10
Typical High
$2,570.40
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$53.70
Typical High
$3,019.95
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
Select Health
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$128.82
Select Health
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$70.79
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$44.67
Typical High
$69.18

Where Idaho 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.

Idaho· 29th of 51

$52.48

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.