Tied for 5th. You skip positions if there are other teams tied. Orlando/Boston tied for 3rd/4th, so incorrect to say Utah/LA tied for 4th, They are in fact tied for 5th/6th with 151 chanced to divide between them. So coin flip determines who gets the extra chance plus the higher slot if a top-3 spot is won.
BTW, last year the tiebreakers were determined on April 19th for both lottery and playoff teams. There were 5 ties to break. And, of course, the order is reversed in the second round - i.e loser of the coin flip gets the higher selection in the 2nd round (small consolation).
Well that might be true most years, I remember when Utah and San Antonio tied in 1999. SA won the coin toss. Who did they select? A guy name Gino. So some times it comes back and bites you.