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LSO, Flexible, Off-the-Shelf

Nevada 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?

$41.69

Typical negotiated rate. In Nevada, October 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $30.20 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$41.69$22.91 to $52.48
FacilityA hospital or hospital-owned outpatient department$30.20$28.84 to $39.81

How much rates vary

Facilitymedian $30 · 10th to 90th $19 to $58Professionalmedian $42 · 10th to 90th $16 to $65
$10$50$200$1Kfacility $30professional $42

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
$16.22
Median
$16.22
Typical High
$19.05
Aetna
Setting
Professional
Modifier
None
Typical Low
$16.22
Median
$16.22
Typical High
$23.99
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$29.51
Typical High
$39.81
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$64.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$41.69
Typical High
$63.10
Hometown Health
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$28.84
Typical High
$57.54
Select Health
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$4,265.80
Select Health
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$25.70
Typical High
$83.18
United
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$44.67
Typical High
$66.07
2 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$40.74
Median
$40.74
Typical High
$40.74

Where Nevada 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.

Nevada· 45th of 51

$41.69

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.