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LSO, Flexible, Off-the-Shelf

Oregon 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 Oregon, 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 $74.13 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$41.69$29.51 to $67.61
FacilityA hospital or hospital-owned outpatient department$74.13$28.84 to $79.43

How much rates vary

Facilitymedian $74 · 10th to 90th $28 to $87Professionalmedian $42 · 10th to 90th $28 to $87
$20$50$100facility $74professional $42

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
Professional
Modifier
None
Typical Low
$29.51
Median
$29.51
Typical High
$36.31
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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$63.10
Typical High
$81.28
Moda Health
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$48.98
Typical High
$87.10
Moda Health
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$29.51
Typical High
$74.13
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$77.62
Typical High
$81.28
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$30.90
Typical High
$77.62
Providence
Setting
Facility
Modifier
None
Typical Low
$17.38
Median
$48.98
Typical High
$87.10
Providence
Setting
Professional
Modifier
None
Typical Low
$28.18
Median
$41.69
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$128.82
Typical High
$165.96
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$31.62
Median
$87.10
Typical High
$91.20
United
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$162.18
United
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$44.67
Typical High
$64.57

Where Oregon 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.

Oregon· 49th 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.