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LSO, Flexible, Off-the-Shelf

New Jersey 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?

$48.98

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $57.54 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$47.86$38.90 to $81.28
FacilityA hospital or hospital-owned outpatient department$57.54$57.54 to $57.54

How much rates vary

Facilitymedian $58 · 10th to 90th $34 to $65Professionalmedian $48 · 10th to 90th $34 to $81
$50$100facility $58professional $48

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
$33.88
Median
$33.88
Typical High
$38.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$33.88
Typical High
$42.66
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$57.54
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$74.13
Typical High
$74.13
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Horizon BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
United
Setting
Facility
Modifier
None
Typical Low
$85.11
Median
$85.11
Typical High
$100.00
United
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$50.12
Typical High
$74.13

Where New Jersey 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.

New Jersey· 36th of 51

$48.98

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.