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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 October 2026.

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

$70.79

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $74.13 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$70.79$52.48 to $70.79
FacilityA hospital or hospital-owned outpatient department$74.13$74.13 to $74.13

How much rates vary

Facilitymedian $74 · 10th to 90th $50 to $224Professionalmedian $71 · 10th to 90th $44 to $81
$50$100$200facility $74professional $71

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$74.13
Typical High
$74.13
BCBS North Dakota
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$70.79
Typical High
$70.79
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$63.10
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$72.44
Typical High
$89.13
Medica
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$74.13
Typical High
$275.42
Medica
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$50.12
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$25.70
Median
$50.12
Typical High
$81.28

Where North Dakota 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.

North Dakota· 8th of 51

$70.79

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.