go back

LSO, Flexible, Off-the-Shelf

Utah 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?

$41.69

Typical negotiated rate. In Utah, July 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 $37.15 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 7 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$41.69$28.84 to $53.70
FacilityA hospital or hospital-owned outpatient department$37.15$28.84 to $41.69

How much rates vary

Facilitymedian $37 · 10th to 90th $29 to $55Professionalmedian $42 · 10th to 90th $16 to $120
$10$20$50$100facility $37professional $42

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
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$33.88
Typical High
$120.23
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
$57.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$22.91
Typical High
$83.18
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$41.69
Typical High
$54.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$57.54
Select Health
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Select Health
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$42.66
Typical High
$83.18
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$42.66
Typical High
$63.10
United
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$43.65
Typical High
$64.57

Where Utah 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.

Utah· 40th of 51

$41.69

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.