Code: L0629

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, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
BRACE LSO PREFAB
HC LUMBAR-SACRAL ORTHOTIC FLEXIBLE CUSTOM FAB
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: L0628
BRACE FLEX SUPPORT L0628
Massachusetts
Hospital Address Code Price Last Updated
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs L0629 $54 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge L0629 $54 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston L0629 $54 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich L0629 $54 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton L0629 $54 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem L0629 $54 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket L0629 $54 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont L0629 $54 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain L0629 $54 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston L0629 $54 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown L0629 $54 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston L0629 $54 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls L0629 $54 [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.