Code: L0628

Description:
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, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
HC LUMBAR-SCARAL ORTHOTIC FLEXIBLE PREFABRICATED
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
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: L0627
BRACE LO SAGTL RIGD LVL1
Code: L0629
LSO FLX SURG SUPP
Pennsylvania
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of Altoona 2005 Valley View Blvd, Altoona L0628 $127 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Reading 1623 Morgantown Rd, Reading L0628 $132 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Mechanicsburg 175 Lancaster Blvd, Mechanicsburg L0628 $137 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Harmarville 320 Guys Run Road, Pittsburgh L0628 $139 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Sewickley 303 Campmeeting Rd, Sewickley L0628 $139 [source] 4 years ago
Geisinger Encompass Health Rehabilitation Hospital 2 Rehab Ln, Danville L0628 $141 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Nittany Valley 550 W College Ave, Bellefonte L0628 $145 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Erie 143 E 2Nd St, Erie L0628 $153 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of York 1850 Normandie Dr, L0628 $208 [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 ยง180.