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LSO, Flexible, Off-the-Shelf

New Mexico 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?

$53.70

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $53.70 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $132 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$47.86$37.15 to $56.23
FacilityA hospital or hospital-owned outpatient department$132$64.57 to $479

How much rates vary

Facilitymedian $132 · 10th to 90th $36 to $724Professionalmedian $48 · 10th to 90th $24 to $87
$10.0$100.0$1.0K$10.0K$100.0Kfacility $132professional $48

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
$70.79
Median
$70.79
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$53.70
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$467.74
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$67.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$91.20
Molina
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$87.10
Typical High
$131.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$47.86
Typical High
$87.10
Providence
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$67.61

Where New Mexico sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New Mexico $53.70 · 16th of 51
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.