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
Texas
Hospital Address Code Price Last Updated
Medical City Fort Worth 900 8Th Ave, Fort Worth L0628 $10 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen L0628 $29 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg L0628 $29 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen L0628 $29 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Pearland 2121 Business Center Drive, Pearland L0628 $174 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of City View 6701 Oakmont Blvd, Fort Worth L0628 $174 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Abilene 6401 Directors Pkwy, Abilene L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Sugar Land 1325 Highway 6, Sugar Land L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of San Antonio 9119 Cinnamon Hl, San Antonio L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Austin 330 W. Ben White Blvd., Austin L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Texarkana 515 W 12Th St, Texarkana L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Vision Park 117 Vision Park Blvd, Conroe L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Wichita Falls 3901 Armory Rd, Wichita Falls L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Richardson 3351 Waterview Parkway, Richardson L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Midland Odessa 1800 Heritage Blvd, Midland L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Arlington 3200 Matlock Rd, Arlington L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Dallas 7930 Northaven Rd, Dallas L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital The Vintage 20180 Chasewood Park Drive, Houston L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Humble 19002 Mckay Dr, Humble L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Cypress 13031 Wortham Center Dr, Houston L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Round Rock 1400 Hesters Crossing Rd, Round Rock L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of The Woodlands 18550 I H 45 S, Conroe L0628 $198 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Plano 2800 W 15Th St, Plano L0628 $198 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo L0628 $376 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville L0628 $1,322 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth L0628 $1,715 [source] 4 years ago
Medical City Mckinney 13155 Noel Rd. Suite 200, Dallas L0628 $1,959 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving L0628 $2,337 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford L0628 $3,791 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington L0628 $3,791 [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.