πŸ“‹ Medical Procedure Code

L0628

Lumbar-sacral orthosis, 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
Other Descriptions:
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di
BRACE BACK CASH ORTHOSIS
SUPPORT LS XXXL13IN REVERE
BRACE LSO NECK L0633
SUPPORT LUMBOSAC LG 10INREVERE
SUPPORT LUMBOSAC XL 13INREVERE
SUPPORT LUMBOSAC XL 10INREVERE
SUPPORT LUMBOSAC XXL13INREVERE
SUPPORT LUMBOSAC LG 13INREVERE
Related codes:
Code: L0621
Description: Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Code: L0622
Description: Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Code: L0623
Description: Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Code: L0624
Description: Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Code: L0625
Description: Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Code: L0626
Description: Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures
Code: L0627
Description: Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures
Code: L0629
Description: Lumbar-sacral orthosis, 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, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures

Compare Hospital Prices Across the United States

This page shows the cost variations for procedure code L0629 across different hospitals in the United States. The data is compiled from hospital chargemaster files, which list the standard charges for medical procedures and services.

Why do prices vary? Hospital pricing can differ significantly based on location, facility type, and local market conditions. Use this data to understand price ranges and compare costs across states and hospitals.

Average
$486
Median
$182
Hospitals
267

πŸ—ΊοΈ Interactive Price Map

πŸ’‘ Tip: Click on any state to explore detailed hospital pricing. Hover to see quick statistics. Darker shades indicate higher average costs.

πŸ“Š Average Prices by State

Click on any state to view individual hospital prices and detailed breakdowns.

State Average Price Number of Hospitals
Minnesota (MN) $47 13
Hawaii (HI) $66 4
Washington (WA) $108 6
Wisconsin (WI) $108 5
Ohio (OH) $118 1
New York (NY) $118 3
West Virginia (WV) $126 4
New Mexico (NM) $139 1
Kentucky (KY) $141 3
Pennsylvania (PA) $147 9
Maryland (MD) $160 1
Colorado (CO) $165 2
Arkansas (AR) $174 2
Alabama (AL) $176 8
Massachusetts (MA) $177 17
South Carolina (SC) $179 5
Delaware (DE) $198 1
Utah (UT) $198 1
Virginia (VA) $198 5
New Jersey (NJ) $198 1
Louisiana (LA) $198 1
New Hampshire (NH) $199 2
Missouri (MO) $218 2
Nebraska (NE) $219 11
Arizona (AZ) $236 5
Illinois (IL) $239 8
Iowa (IA) $254 3
Oklahoma (OK) $269 3
Kansas (KS) $328 7
California (CA) $343 26
Michigan (MI) $478 1
Connecticut (CT) $514 3
Florida (FL) $536 28
Tennessee (TN) $547 3
Georgia (GA) $766 2
Indiana (IN) $819 18
Texas (TX) $1,020 39
Nevada (NV) $1,870 13

ℹ️ About This Data

The prices shown are from hospital chargemaster files, which represent the list prices hospitals charge before insurance negotiations or discounts. Your actual cost may be different depending on your insurance coverage, deductibles, and negotiated rates. Always check with your insurance provider and hospital for accurate cost estimates.


ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR Β§180.