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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 July 2026.

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

$83.18

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $141 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$67.61 to $83.18
FacilityA hospital or hospital-owned outpatient department$141$83.18 to $240

How much rates vary

Facilitymedian $141 · 10th to 90th $62 to $513Professionalmedian $79 · 10th to 90th $50 to $83
$50$100$200$500facility $141professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$50.12
Typical High
$74.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$83.18
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$83.18
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$234.42
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$81.28
Typical High
$91.20
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$257.04
Typical High
$512.86
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$97.72
Medica
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$61.66
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$95.50
United
Setting
Facility
Modifier
Global
Typical Low
$0.72
Median
$44.67
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$52.48
Typical High
$102.33

Where Minnesota sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. 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· 2nd of 51

$83.18

HI $95.50DC $27.54

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.