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LSO, Flexible, Off-the-Shelf

West 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?

$39.81

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $39.81 for this service. The price depends on where it is billed: about $39.81 from a physician practice, and about $39.81 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$39.81$33.88 to $48.98
FacilityA hospital or hospital-owned outpatient department$39.81$39.81 to $44.67

How much rates vary

Facilitymedian $40 · 10th to 90th $40 to $85Professionalmedian $40 · 10th to 90th $28 to $59
$50$100$200facility $40professional $40

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
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$39.81
Typical High
$48.98
CareSource
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$85.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$75.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$89.13
Typical High
$89.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$44.67
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$50.12
Typical High
$81.28

Where West 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.

West Virginia· 44th of 51

$39.81

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.