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
Texas
Hospital Address Code Price Last Updated
Texoma Medical Center 5016 South Us Highway 75, Denison L0631 $1,493 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills L0631 $1,889 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Pearland 2121 Business Center Drive, Pearland L0631 $2,130 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of City View 6701 Oakmont Blvd, Fort Worth L0631 $2,130 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth L0631 $2,202 [source] 4 years ago
Medical City Las Colinas 6800 N Macarthur Blvd, Irving L0631 $2,203 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth L0631 $2,244 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth L0631 $2,367 [source] 4 years ago
Encompass Health Rehabilitation Hospital Vision Park 117 Vision Park Blvd, Conroe L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital The Vintage 20180 Chasewood Park Drive, Houston L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Sugar Land 1325 Highway 6, Sugar Land L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of San Antonio 9119 Cinnamon Hl, San Antonio L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Austin 330 W. Ben White Blvd., Austin L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Richardson 3351 Waterview Parkway, Richardson L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Texarkana 515 W 12Th St, Texarkana L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Wichita Falls 3901 Armory Rd, Wichita Falls L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Abilene 6401 Directors Pkwy, Abilene L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Midland Odessa 1800 Heritage Blvd, Midland L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Humble 19002 Mckay Dr, Humble L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Cypress 13031 Wortham Center Dr, Houston L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Arlington 3200 Matlock Rd, Arlington L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Round Rock 1400 Hesters Crossing Rd, Round Rock L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of The Woodlands 18550 I H 45 S, Conroe L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Plano 2800 W 15Th St, Plano L0631 $2,434 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Dallas 7930 Northaven Rd, Dallas L0631 $2,434 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco L0631 $2,832 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving L0631 $2,832 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney L0631 $2,832 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano L0631 $2,832 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth L0631 $2,832 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano L0631 $2,832 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano L0631 $2,832 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas L0631 $2,832 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey L0631 $2,832 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie L0631 $2,832 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett L0631 $2,832 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton L0631 $2,832 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine L0631 $2,832 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford L0631 $3,629 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington L0631 $3,629 [source] 4 years ago
Medical City Lewisville 500 W Main St, Lewisville L0631 $4,021 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas L0631 $10,272 [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.