Prefabricated lower back brace with rigid front and back panels

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Lo Rigid a/P Panel Prefab Custom Fit Pt T1

Payers reporting HCPCS L0627

Payer pricing summary

Low

$123

Average

$724

Median

$564

High

$4.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	413	$513	$579	$298	51%	—	$1 – $2.2k
2	Aetna fee schedule · outpatient · +23 other terms	381	$510	$595	$293	49%	—	$164 – $3.3k
3	Humana fee schedule · outpatient · +20 other terms	332	$507	$739	$794	108%	—	$229 – $3.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	245	$518	$697	$393	56%	—	$0 – $4.3k
5	WellCare fee schedule · outpatient · +12 other terms	219	$523	$533	$84	16%	—	$159 – $962
6	Devoted fee schedule · outpatient · +8 other terms	165	$508	$511	$12	2%	—	$492 – $614
7	Molina fee schedule · outpatient · +15 other terms	153	$642	$621	$247	40%	—	$258 – $1.3k
8	Cigna fee schedule · outpatient · +21 other terms	132	$523	$786	$428	54%	—	$157 – $2.4k
9	Cigna Healthspring fee schedule · outpatient · +3 other terms	116	$518	$518	$18	3%	—	$508 – $620
10	Anthem fee schedule · outpatient · +20 other terms	99	$508	$832	$679	82%	—	$153 – $3.8k
11	Kaiser fee schedule · outpatient · +17 other terms	88	$522	$758	$574	76%	—	$139 – $3.6k
12	Caresource fee schedule · outpatient · +11 other terms	50	$508	$507	$110	22%	—	$278 – $781
13	Ambetter facility · fee schedule · outpatient · +9 other terms	48	$902	$904	$229	25%	—	$366 – $1.3k
14	Clover fee schedule · outpatient · +3 other terms	42	$525	$513	$26	5%	—	$483 – $602
15	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$533	$533	$3	0%	—	$498 – $533
16	Oscar fee schedule · outpatient · +8 other terms	37	$533	$585	$123	21%	—	$498 – $855
17	Optum fee schedule · outpatient · +8 other terms	33	$508	$664	$269	40%	—	$487 – $1.3k
18	Medica facility · fee schedule · outpatient · +13 other terms	27	$493	$417	$176	42%	—	$36 – $837
19	MultiPlan fee schedule · outpatient · +16 other terms	26	$1.4k	$1.3k	$523	40%	—	$176 – $2.6k
20	Tricare facility · fee schedule · outpatient · +9 other terms	26	$489	$475	$61	13%	—	$229 – $508
21	Medicare fee schedule · outpatient · +4 other terms	24	$492	$494	$6	1%	—	$474 – $502
22	Amerihealth Caritas fee schedule · outpatient · +5 other terms	18	$610	$593	$34	6%	—	$503 – $610
23	Bcbs Tx fee schedule · outpatient	18	$498	$498	—	—	—	$498 – $498
24	Regence facility · fee schedule · outpatient · +9 other terms	17	$532	$515	$39	8%	—	$411 – $542
25	First Health fee schedule · outpatient · +12 other terms	16	$1.2k	$1.2k	$496	42%	—	$171 – $2.3k

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