Code: L0627

Description:

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

Other Descriptions:

BRACE LUMBAR SACRAL RGD

BRACE LSO CORSETT

SUPPORT ORT LS CTRL PNL

BOA BACK BRACE LP XL

BOA BCK XXL 45-50X 10

BOA BACK BRACE RG S

BOA BACK BRACE RG L

BOA BACK BRACE RG M

BOA BACK BRAC RG XL

Related codes:

Code: L0621

SUPPORT ORTH SCROILIAC

Code: L0622

ORTHOSIS SACROLILAC FLEX

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: L0625

SUPPORT LUMBAR SACRO 10

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: L0628

BRACE FLEX SUPPORT L0628

Code: L0629

LSO FLX SURG SUPP

State	Average	# Hospitals In Database
Louisiana (LA)	$149	3
Minnesota (MN)	$164	13
Wisconsin (WI)	$250	3
West Virginia (WV)	$294	5
New Mexico (NM)	$295	1
Kentucky (KY)	$300	3
Massachusetts (MA)	$303	17
Pennsylvania (PA)	$312	9
Colorado (CO)	$350	2
Arkansas (AR)	$368	2
Tennessee (TN)	$368	2
Utah (UT)	$421	1
Delaware (DE)	$421	1
New Jersey (NJ)	$421	2
New York (NY)	$429	3
Virginia (VA)	$499	6
Arizona (AZ)	$500	5
South Carolina (SC)	$506	7
Alabama (AL)	$530	10
Oklahoma (OK)	$641	3
Maryland (MD)	$645	2
Kansas (KS)	$694	8
Washington (WA)	$833	2
California (CA)	$903	26
Maine (ME)	$915	1
Illinois (IL)	$1,087	8
Missouri (MO)	$1,110	3
Texas (TX)	$1,123	33
Ohio (OH)	$1,259	3
Michigan (MI)	$1,467	1
Indiana (IN)	$1,486	16
Florida (FL)	$1,580	38
Georgia (GA)	$2,649	6
District of Columbia (DC)	$3,231	1
New Hampshire (NH)	$5,571	4
Nevada (NV)	$5,715	14
Idaho (ID)	$6,197	2

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 §180.