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LSO, Flexible, Off-the-Shelf

Kentucky 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?

$47.86

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$47.86$30.20 to $54.95
FacilityA hospital or hospital-owned outpatient department$57.54$41.69 to $64.57

How much rates vary

Facilitymedian $58 · 10th to 90th $30 to $89Professionalmedian $48 · 10th to 90th $30 to $69
$50$100$200facility $58professional $48

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
$30.20
Median
$30.20
Typical High
$33.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$30.20
Typical High
$44.67
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$64.57
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$47.86
Typical High
$64.57
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$37.15
Median
$40.74
Typical High
$40.74
CareSource
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$57.54
Typical High
$91.20
CareSource
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$79.43
Typical High
$102.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$89.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$52.48
Typical High
$295.12
Molina
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$67.61
Typical High
$81.28
United
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$45.71
Typical High
$64.57

Where Kentucky 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.

Kentucky· 41st of 51

$47.86

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.