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LSO, Flexible, Off-the-Shelf

Virginia 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?

$54.95

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $54.95 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $64.57 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 8 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$48.98$42.66 to $58.88
FacilityA hospital or hospital-owned outpatient department$64.57$58.88 to $74.13

How much rates vary

Facilitymedian $65 · 10th to 90th $46 to $117Professionalmedian $49 · 10th to 90th $30 to $87
$50$200$1K$5Kfacility $65professional $49

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
$27.54
Median
$48.98
Typical High
$169.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$48.98
Typical High
$53.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$69.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$112.20
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$57.54
Typical High
$57.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$67.61
Typical High
$107.15
Medcost
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$66.07
Typical High
$100.00
Medcost
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$58.88
Typical High
$102.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$61.66
Typical High
$81.28
Sentara
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$288.40
Sentara
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$48.98
Typical High
$77.62

Where Virginia 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.

Virginia· 9th of 51

$54.95

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.