Code: L0637

Description:
Description: Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, 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, 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 ORTH ALGN CSTM LSO
BRACE OTHS LSO CSTM
BRACE SEMIUNIV LG XL
BRACE CYBER 2000
SUPPORT XL CHR CK BOALSO
SUPPORT ORTH SM SPNT9-S1
SUPPORT MED SPN T9-S1RNG
SUPPORT LG CHRBCK BOALSO
BOA BACK BRAC LP CHR XXL
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: L0636
ORTHOSIS LUMBAR SACRAL
Code: L0638
BRACE LSO ASPEN SUMMT OR
Code: L0639
BRACE LSO CUSTOM
Texas
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of Pearland 2121 Business Center Drive, Pearland L0637 $214 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of City View 6701 Oakmont Blvd, Fort Worth L0637 $214 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of San Antonio 9119 Cinnamon Hl, San Antonio L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital The Vintage 20180 Chasewood Park Drive, Houston L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Humble 19002 Mckay Dr, Humble L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Austin 330 W. Ben White Blvd., Austin L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Cypress 13031 Wortham Center Dr, Houston L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Texarkana 515 W 12Th St, Texarkana L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Abilene 6401 Directors Pkwy, Abilene L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Round Rock 1400 Hesters Crossing Rd, Round Rock L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Wichita Falls 3901 Armory Rd, Wichita Falls L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of The Woodlands 18550 I H 45 S, Conroe L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Vision Park 117 Vision Park Blvd, Conroe L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Plano 2800 W 15Th St, Plano L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Richardson 3351 Waterview Parkway, Richardson L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Sugar Land 1325 Highway 6, Sugar Land L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Midland Odessa 1800 Heritage Blvd, Midland L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Arlington 3200 Matlock Rd, Arlington L0637 $245 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Dallas 7930 Northaven Rd, Dallas L0637 $245 [source] 4 years ago
Baylor Scott & White Medical Center - Brenham 700 Medical Pkwy, Brenham L0637 $1,132 [source] 4 years ago
Baylor Scott & White Medical Center - College Station 700 Scott And White Dr, College Station L0637 $1,132 [source] 4 years ago
Baylor Scott & White Medical Center - Taylor 305 Mallard Ln, Taylor L0637 $1,132 [source] 4 years ago
Baylor Scott & White Medical Center - Marble Falls 810 W. State Highway 71, Marble Falls L0637 $1,132 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo L0637 $1,175 [source] 4 years ago
Medical City Alliance 3101 N Tarrant Pkwy, Fort Worth L0637 $1,318 [source] 4 years ago
Baylor Scott & White Continuing Care Hospital - Temple 546 N Kegley Rd, Temple L0637 $1,415 [source] 4 years ago
Baylor Scott & White Medical Center - Round Rock 300 University Blvd, Sandy L0637 $1,415 [source] 4 years ago
Baylor Scott & White Medical Center - Pflugerville 2600 E Pflugerville Pkwy Ste 100, Pflugerville L0637 $1,415 [source] 4 years ago
Baylor Scott & White Medical Center - Buda 5330 Overpass Rd, Buda L0637 $1,415 [source] 4 years ago
Baylor Scott & White Medical Center - Lakeway 100 Medical Pkwy, Austin L0637 $1,415 [source] 4 years ago
Medical City North Hills 4401 Booth Calloway Rd, North Richland Hills L0637 $1,640 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen L0637 $1,762 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen L0637 $1,762 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg L0637 $1,762 [source] 4 years ago
Medical City Weatherford 713 E Anderson St, Weatherford L0637 $1,779 [source] 4 years ago
Medical City Arlington 3301 Matlock Rd, Arlington L0637 $1,779 [source] 4 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi L0637 $2,192 [source] 4 years ago
Medical City Denton 3535 S Interstate 35, Corinth L0637 $2,375 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco L0637 $2,500 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Murphy 511 W Fm 544 Ste 100, Plano L0637 $3,176 [source] 4 years ago
Baylor Scott & White Medical Center - Irving 1901 N Macarthur Blvd, Irving L0637 $3,176 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Plano 1100 Allied Dr, Plano L0637 $3,176 [source] 4 years ago
Baylor Scott & White Emergency Center - Forney 757 E Us Highway 80 Ste 150, Forney L0637 $3,176 [source] 4 years ago
Baylor Scott & White Medical Center - Grapevine 1650 W College St, Grapevine L0637 $3,176 [source] 4 years ago
Baylor Scott & White Heart And Vascular Hospital - Dallas 621 N Hall St, Dallas L0637 $3,176 [source] 4 years ago
Baylor Scott & White Medical Center - Centennial 12505 Lebanon Rd, Frisco L0637 $3,176 [source] 4 years ago
Baylor Scott & White The Heart Hospital - Denton 2801 S Mayhill Rd, Denton L0637 $3,176 [source] 4 years ago
Baylor Scott & White Emergency Hospital - Aubrey 26791 Us Highway 380 E, Aubrey L0637 $3,176 [source] 4 years ago
Baylor Scott & White Medical Center - Lake Pointe 6800 Scenic Dr, Rowlett L0637 $3,176 [source] 4 years ago
Baylor Scott & White All Saints Medical Center - Fort Worth 1400 8Th Ave, Fort Worth L0637 $3,176 [source] 4 years ago
Baylor Scott & White Medical Center - Waxahachie 2400 N Interstate 35E, Waxahachie L0637 $3,176 [source] 4 years ago
Baylor Scott & White Medical Center - Plano 4700 Alliance Blvd, Plano L0637 $3,176 [source] 4 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen L0637 $4,169 [source] 4 years ago
St. David's Healthcare , Round Rock L0637 $5,499 [source] 4 years ago
Medical City Fort Worth 900 8Th Ave, Fort Worth L0637 $7,973 [source] 4 years ago
Medical City Healthcare 13155 Noel Rd. Suite 200, Dallas L0637 $17,416 [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.