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LSO, Flexible, Off-the-Shelf

Illinois 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?

$41.69

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $151 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$41.69$33.88 to $50.12
FacilityA hospital or hospital-owned outpatient department$151$72.44 to $309

How much rates vary

Facilitymedian $151 · 10th to 90th $58 to $562Professionalmedian $42 · 10th to 90th $34 to $83
$50$100$200$500$1Kfacility $151professional $42

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
$33.88
Median
$33.88
Typical High
$54.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$44.67
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$208.93
Typical High
$575.44
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$57.54
Hally Health
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$77.62
Typical High
$123.03
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Molina
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$97.72
Typical High
$97.72
United
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$50.12
Typical High
$117.49

Where Illinois 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.

Illinois· 46th of 51

$41.69

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.