Lumbar back brace with rigid rear panel

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Flexible Lso (Corset)

Payers reporting HCPCS L0630

Payer pricing summary

Low

$50

Average

$273

Median

$244

High

$698

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	392	$202	$227	$112	49%	—	$1 – $992
2	Aetna fee schedule · outpatient · +20 other terms	369	$201	$239	$114	48%	—	$48 – $1.3k
3	Humana fee schedule · outpatient · +17 other terms	325	$200	$298	$318	107%	—	$99 – $1.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	231	$204	$283	$247	87%	—	$0 – $4.5k
5	WellCare fee schedule · outpatient · +11 other terms	213	$206	$210	$35	16%	—	$40 – $379
6	Devoted fee schedule · outpatient · +5 other terms	165	$200	$201	$5	2%	—	$194 – $242
7	Molina fee schedule · outpatient · +14 other terms	145	$283	$263	$107	41%	—	$102 – $524
8	Cigna fee schedule · outpatient · +19 other terms	122	$206	$302	$164	54%	—	$108 – $1.0k
9	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$204	$204	$7	3%	—	$200 – $244
10	Anthem fee schedule · outpatient · +14 other terms	94	$198	$298	$251	84%	—	$39 – $1.5k
11	Kaiser fee schedule · outpatient · +13 other terms	74	$206	$273	$205	75%	—	$102 – $1.4k
12	Caresource fee schedule · outpatient · +5 other terms	43	$200	$203	$42	21%	—	$130 – $308
13	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$210	$210	$1	0%	—	$196 – $210
14	Clover fee schedule · outpatient · +2 other terms	37	$200	$201	$11	5%	—	$190 – $237
15	Oscar fee schedule · outpatient · +8 other terms	36	$210	$231	$49	21%	—	$196 – $337
16	Ambetter facility · fee schedule · outpatient · +9 other terms	34	$358	$375	$90	24%	—	$190 – $500
17	Optum fee schedule · outpatient · +6 other terms	34	$200	$257	$108	42%	—	$92 – $500
18	Medica facility · fee schedule · outpatient · +6 other terms	24	$203	$187	$48	26%	—	$66 – $330
19	MultiPlan fee schedule · outpatient · +14 other terms	20	$613	$568	$179	31%	—	$196 – $900
20	Regence facility · fee schedule · outpatient · +6 other terms	19	$210	$201	$16	8%	—	$162 – $214
21	Amerihealth Caritas fee schedule · outpatient · +4 other terms	18	$240	$233	$13	6%	—	$198 – $240
22	Bcbs Tx fee schedule · outpatient	18	$196	$196	—	—	—	$196 – $196
23	Medicare fee schedule · outpatient · +3 other terms	18	$194	$194	$2	1%	—	$194 – $198
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$199	$229	$57	25%	—	$108 – $315
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$181	$181	$41	23%	—	$88 – $212

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