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

Oklahoma

Hospital	Address	Code	Price	Last Updated
St. John Owasso	12451 E 100Th St N, Owasso	L0627	$267 [source]	4 years ago
St. John Medical Center	1923 S Utica Ave, Tulsa	L0627	$267 [source]	4 years ago
St. Mary’S Regional Medical Center	305 South 5Th Street, Enid	L0627	$1,389 [source]	4 years ago

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.