Lumbar back brace with rigid 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-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

Lso, a/P Lateral Control

Payers reporting HCPCS L0633

Payer pricing summary

Low

$89

Average

$539

Median

$400

High

$2.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	383	$358	$385	$198	51%	—	$113 – $2.0k
2	Aetna fee schedule · outpatient · +16 other terms	369	$356	$428	$215	50%	—	$176 – $2.3k
3	Humana fee schedule · outpatient · +16 other terms	326	$353	$531	$563	106%	—	$170 – $2.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	227	$361	$478	$307	64%	—	$0 – $1.8k
5	WellCare fee schedule · outpatient · +8 other terms	214	$365	$372	$60	16%	—	$113 – $671
6	Devoted fee schedule · outpatient · +3 other terms	165	$354	$356	$8	2%	—	$343 – $428
7	Molina fee schedule · outpatient · +9 other terms	138	$505	$488	$182	37%	—	$245 – $928
8	Cigna fee schedule · outpatient · +15 other terms	117	$365	$475	$272	57%	—	$185 – $2.1k
9	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$361	$361	$13	3%	—	$354 – $432
10	Anthem fee schedule · outpatient · +12 other terms	86	$350	$412	$425	103%	—	$19 – $2.6k
11	Kaiser fee schedule · outpatient · +12 other terms	66	$364	$565	$395	70%	—	$229 – $2.5k
12	Caresource fee schedule · outpatient · +5 other terms	44	$354	$363	$80	22%	—	$231 – $564
13	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$372	$372	$2	0%	—	$347 – $372
14	Clover fee schedule · outpatient · +2 other terms	37	$354	$356	$19	5%	—	$337 – $420
15	Oscar fee schedule · outpatient · +6 other terms	36	$372	$409	$87	21%	—	$347 – $596
16	Ambetter facility · fee schedule · outpatient · +7 other terms	34	$634	$664	$160	24%	—	$337 – $886
17	Optum fee schedule · outpatient · +5 other terms	33	$354	$463	$187	40%	—	$340 – $886
18	Medica facility · fee schedule · outpatient · +5 other terms	24	$360	$331	$84	25%	—	$117 – $584
19	Medicare fee schedule · outpatient · +3 other terms	19	$343	$344	$4	1%	—	$331 – $350
20	Regence facility · fee schedule · outpatient · +4 other terms	19	$371	$356	$28	8%	—	$287 – $378
21	Amerihealth Caritas fee schedule · outpatient · +2 other terms	18	$425	$413	$23	6%	—	$351 – $425
22	Bcbs Tx fee schedule · outpatient	18	$347	$347	—	—	—	$347 – $347
23	MultiPlan fee schedule · outpatient · +12 other terms	16	$1.2k	$1.1k	$378	35%	—	$347 – $1.6k
24	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$352	$406	$100	25%	—	$192 – $557
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$321	$320	$75	23%	—	$156 – $375

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