Code: L0631

Description:
Description: Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 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 LSO TAPERED MED
BRACE LSO TAPER SMALL
BRACE LSO TAPER XL
BRACE LSO FLEX ELSTC RGD
BRACE LUMBAR ORTHOSIS
BRACE CYBERTECH PREMIUM PLUS
HC LSO SAG-CORO RIG FRM PF
LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A&P PREFAB
HB CALIF SOFT SPINAL TLSO(CF-HIGH)
Related codes:
Code: L0630
BRACE BACK 20-60 IN
Code: L0632
BRACE LSO FLEX ELAS RGD
Code: L0633
COMPOUND PULL LSO
Code: L0634
BRACE LUMBAR RIGID CUSTM
Code: L0635
BRACE LMBR CORSETT SCRL
Code: L0636
ORTHOSIS LUMBAR SACRAL
Code: L0637
SUPPORT ORTH LS RGD AP/L
Code: L0638
BRACE LSO ASPEN SUMMT OR
Code: L0639
BRACE LSO CUSTOM
California
Hospital Address Code Price Last Updated
Temecula Valley Hospital 31700 Temecula Parkway, Temecula L0631 $1,589 [source] 4 years ago
Eden Medical Center 20103 Lake Chabot Road, Castro Valley L0631 $1,852 [source] 4 years ago
El Camino Hospital 2500 Grant Rd, Mountain View L0631 $1,981 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch L0631 $2,020 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek L0631 $2,020 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro L0631 $2,020 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara L0631 $2,020 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville L0631 $2,020 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento L0631 $2,020 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond L0631 $2,020 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto L0631 $2,020 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon L0631 $2,020 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City L0631 $2,020 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo L0631 $2,020 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento L0631 $2,020 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael L0631 $2,020 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco L0631 $2,020 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills L0631 $2,020 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno L0631 $2,020 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville L0631 $2,020 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose L0631 $2,020 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco L0631 $2,020 [source] 4 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside L0631 $2,231 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Bakersfield 5001 Commerce Dr, Bakersfield L0631 $2,556 [source] 4 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville L0631 $2,820 [source] 4 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar L0631 $2,890 [source] 4 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta L0631 $2,890 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Modesto 1303 Mable Avenue, Modesto L0631 $2,891 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Tustin 14851 Yorba St, Tustin L0631 $2,891 [source] 4 years ago
Sierra Vista Regional Medical Center 1010 Murray Ave., San Luis Obispo L0631 $4,736 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose L0631 $21,209 [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.