go back

LSO, Flexible, Off-the-Shelf

North Dakota 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?

$69.18

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $69.18 for this service. The price depends on where it is billed: about $69.18 from a physician practice, and about $74.13 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 5 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$69.18$52.48 to $74.13
FacilityA hospital or hospital-owned outpatient department$74.13$50.12 to $112

How much rates vary

Facilitymedian $74 · 10th to 90th $50 to $145Professionalmedian $69 · 10th to 90th $50 to $76
$50$100$200facility $74professional $69

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
$74.13
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$53.70
Typical High
$107.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$69.18
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$74.13
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$61.66
Typical High
$83.18

Where North Dakota 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.

North Dakota· 4th of 51

$69.18

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.