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LSO, Flexible, Off-the-Shelf

South Carolina 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?

$42.66

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $52.48 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$42.66$36.31 to $63.10
FacilityA hospital or hospital-owned outpatient department$52.48$36.31 to $74.13

How much rates vary

Facilitymedian $52 · 10th to 90th $36 to $105Professionalmedian $43 · 10th to 90th $33 to $69
$50$100$200facility $52professional $43

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
$36.31
Median
$36.31
Typical High
$36.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$38.02
Typical High
$69.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$75.86
Typical High
$85.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$75.86
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$63.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$72.44
Medcost
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$64.57
Typical High
$128.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
United
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$53.70
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$50.12
Typical High
$67.61

Where South Carolina 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.

South Carolina· 35th of 51

$42.66

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.