Code: L0636

Description:
Description: Lumbar sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panels, lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
LSO SAGITTAL RIDG CUSTOM
HC LSO LUMB FLEX RIGD POST FRAME/PANL CSTM FAB
LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM
Lso sagittal rigid panel cus
Related codes:
Code: L0630
BRACE BACK 20-60 IN
Code: L0631
BRACE LSO SAG CNTRL LVL2
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: 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
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento L0636 $3,565 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco L0636 $3,565 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills L0636 $3,565 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento L0636 $3,565 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch L0636 $3,565 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto L0636 $3,565 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville L0636 $3,565 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro L0636 $3,565 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek L0636 $3,565 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara L0636 $3,565 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose L0636 $3,565 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond L0636 $3,565 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon L0636 $3,565 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City L0636 $3,565 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo L0636 $3,565 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael L0636 $3,565 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco L0636 $3,565 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno L0636 $3,565 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville L0636 $3,565 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Modesto 1303 Mable Avenue, Modesto L0636 $4,080 [source] 4 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale L0636 $5,346 [source] 4 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose L0636 $37,393 [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.