Lower 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

Lo rig pos pnl l1-l5 pre ots

Payers reporting HCPCS L0641

Payer pricing summary

Low

Average

$86

Median

$77

High

$240

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +13 other terms	382	$58	$64	$38	59%	—	$26 – $483
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	367	$59	$60	$14	23%	—	$23 – $95
3	Humana fee schedule · outpatient · +12 other terms	340	$60	$104	$156	150%	—	$27 – $741
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	225	$61	$71	$49	69%	—	$0 – $464
5	WellCare fee schedule · outpatient · +5 other terms	224	$59	$61	$12	20%	—	$27 – $104
6	Devoted fee schedule · outpatient · +4 other terms	179	$60	$58	$9	16%	—	$38 – $89
7	Molina fee schedule · outpatient · +7 other terms	146	$69	$75	$32	42%	—	$26 – $205
8	Cigna Healthspring fee schedule · outpatient · +3 other terms	123	$62	$59	$8	13%	—	$40 – $85
9	Cigna fee schedule · outpatient · +11 other terms	109	$61	$67	$28	41%	—	$27 – $171
10	Anthem fee schedule · outpatient · +8 other terms	82	$59	$71	$68	96%	—	$27 – $386
11	Kaiser fee schedule · outpatient · +5 other terms	64	$41	$58	$49	85%	—	$27 – $320
12	Superior Healthplan fee schedule · outpatient	41	$60	$61	$4	6%	—	$56 – $82
13	Clover fee schedule · outpatient · +2 other terms	39	$60	$59	$9	14%	—	$52 – $82
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$93	$126	$47	38%	—	$57 – $196
15	Optum fee schedule · outpatient · +3 other terms	36	$61	$73	$32	44%	—	$38 – $143
16	Oscar fee schedule · outpatient · +6 other terms	36	$56	$62	$12	20%	—	$45 – $102
17	Caresource fee schedule · outpatient · +5 other terms	28	$61	$66	$8	12%	—	$52 – $79
18	Bcbs Tx fee schedule · outpatient	23	$56	$61	$11	18%	—	$56 – $82
19	Regence facility · fee schedule · outpatient · +3 other terms	20	$41	$50	$20	41%	—	$22 – $87
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	19	$73	$72	$9	12%	—	$54 – $94
21	Medicare fee schedule · outpatient · +1 other terms	18	$38	$43	$13	30%	—	$38 – $77
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$51	$61	$15	25%	—	$28 – $81
23	Medica fee schedule · outpatient · +7 other terms	14	$96	$104	$33	32%	—	$60 – $147
24	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$76	$75	$21	29%	—	$42 – $102
25	Wellmark fee schedule · both · +2 other terms	13	$75	$74	$6	8%	—	$37 – $75

Page 1 of 3 · 56 payers