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LSO, Flexible, Off-the-Shelf

Nebraska 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?

$58.88

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $91.20 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$51.29$44.67 to $91.20
FacilityA hospital or hospital-owned outpatient department$91.20$79.43 to $93.33

How much rates vary

Facilitymedian $91 · 10th to 90th $47 to $275Professionalmedian $51 · 10th to 90th $33 to $112
$50$100$200facility $91professional $51

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
$40.74
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$53.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$91.20
Typical High
$213.80
Medica
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$79.43
Typical High
$275.42
Medica
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$50.12
Typical High
$79.43
Midlands
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$93.33
Typical High
$213.80
Midlands
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$204.17
Typical High
$223.87
United
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
United
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$50.12
Typical High
$67.61

Where Nebraska 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.

Nebraska· 11th of 51

$58.88

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.