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LSO, Flexible, Off-the-Shelf

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $47.86 for this service. Most negotiated rates run $44.67 to $54.95.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $56 · 10th to 90th $34 to $58Professionalmedian $48 · 10th to 90th $45 to $69
$50$100facility $56professional $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
$44.67
Median
$47.86
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
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
$74.13
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$77.62
United
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$44.67
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$69.18
Typical High
$147.91

Where Vermont 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.

Vermont· 29th 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.