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LSO, Flexible, Off-the-Shelf

Oklahoma 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?

$45.71

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $43.65 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 5 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$36.31 to $66.07
FacilityA hospital or hospital-owned outpatient department$43.65$35.48 to $67.61

How much rates vary

Facilitymedian $44 · 10th to 90th $34 to $117Professionalmedian $48 · 10th to 90th $34 to $66
$50$100$200facility $44professional $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
$33.88
Median
$35.48
Typical High
$35.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$36.31
Typical High
$53.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$66.07
Typical High
$66.07
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
$72.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$60.26
Typical High
$275.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$48.98
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$61.66
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$64.57

Where Oklahoma sits

The same service costs 3.5 times more in Hawaii than in Washington, DC. 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.

Oklahoma· 31st of 51

$45.71

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.