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LSO, Flexible, Off-the-Shelf

Minnesota 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?

$72.44

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $83.18 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$72.44$50.12 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$43.65 to $174

How much rates vary

Facilitymedian $83 · 10th to 90th $44 to $275Professionalmedian $72 · 10th to 90th $42 to $91
$50$100$200$500facility $83professional $72

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
$43.65
Median
$43.65
Typical High
$43.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$43.65
Typical High
$43.65
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$83.18
Typical High
$154.88
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$213.80
Typical High
$537.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$75.86
Typical High
$91.20
Health Partners
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$213.80
Typical High
$512.86
Health Partners
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Medica
Setting
Facility
Modifier
None
Typical Low
$41.69
Median
$67.61
Typical High
$275.42
Medica
Setting
Professional
Modifier
None
Typical Low
$39.81
Median
$50.12
Typical High
$194.98
United
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$100.00
Typical High
$120.23
United
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$50.12
Typical High
$91.20

Where Minnesota 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.

Minnesota· 5th of 51

$72.44

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.