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LSO, Flexible, Off-the-Shelf

Rhode Island 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?

$47.86

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $138 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 4 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$42.66 to $58.88
FacilityA hospital or hospital-owned outpatient department$138$100 to $178

How much rates vary

Facilitymedian $138 · 10th to 90th $55 to $204Professionalmedian $48 · 10th to 90th $38 to $63
$50$100$200facility $138professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$42.66
Typical High
$58.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$54.95
Typical High
$81.28
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
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$52.48
Typical High
$79.43

Where Rhode Island 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.

Rhode Island· 26th of 51

$47.86

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.