Back brace with rigid front and back panels for lower spine

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

BRACE BACK VISTA 464 TLSO

Payers reporting HCPCS L0648

Payer pricing summary

Low

$104

Average

$952

Median

$874

High

$2.5k

Payer rate distribution

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#
1	Regence facility · fee schedule · outpatient · +8 other terms	21	$544	$1.2k	$1.8k	148%	1–10	$291 – $6.8k
2	Aetna fee schedule · outpatient · +16 other terms	380	$765	$841	$495	59%	—	$342 – $6.4k
3	UnitedHealthcare fee schedule · outpatient · +17 other terms	377	$777	$851	$405	48%	—	$1 – $4.1k
4	Humana fee schedule · outpatient · +17 other terms	337	$790	$1.4k	$2.1k	150%	—	$351 – $9.8k
5	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	237	$797	$965	$679	70%	—	$0 – $6.1k
6	WellCare fee schedule · outpatient · +9 other terms	218	$777	$801	$158	20%	—	$361 – $1.4k
7	Devoted fee schedule · outpatient · +6 other terms	173	$782	$763	$124	16%	—	$500 – $1.2k
8	Molina fee schedule · outpatient · +11 other terms	155	$912	$951	$411	43%	—	$342 – $2.7k
9	Cigna Healthspring fee schedule · outpatient · +4 other terms	123	$815	$779	$100	13%	—	$524 – $1.1k
10	Cigna fee schedule · outpatient · +15 other terms	114	$798	$1.1k	$828	72%	—	$351 – $3.5k
11	Anthem fee schedule · outpatient · +13 other terms	90	$777	$1.2k	$1.0k	87%	—	$351 – $5.1k
12	Kaiser fee schedule · outpatient · +9 other terms	72	$534	$844	$687	81%	—	$351 – $4.2k
13	Superior Healthplan fee schedule · outpatient · +1 other terms	41	$790	$798	$51	6%	—	$732 – $1.1k
14	Ambetter facility · fee schedule · outpatient · +9 other terms	40	$1.2k	$1.6k	$614	38%	—	$777 – $2.6k
15	Clover fee schedule · outpatient · +3 other terms	39	$790	$781	$113	14%	—	$681 – $1.1k
16	Oscar fee schedule · outpatient · +7 other terms	36	$741	$810	$161	20%	—	$597 – $1.3k
17	Optum fee schedule · outpatient · +6 other terms	30	$797	$983	$453	46%	—	$500 – $1.9k
18	Caresource fee schedule · outpatient · +7 other terms	29	$797	$858	$106	12%	—	$684 – $1.0k
19	Bcbs Tx fee schedule · outpatient	23	$732	$808	$144	18%	—	$732 – $1.1k
20	Medica facility · fee schedule · outpatient · +8 other terms	23	$800	$789	$243	31%	—	$259 – $1.5k
21	Medicare fee schedule · outpatient · +1 other terms	20	$500	$627	$228	36%	—	$500 – $1.1k
22	Amerihealth Caritas fee schedule · outpatient · +3 other terms	19	$957	$953	$115	12%	—	$714 – $1.2k
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	15	$677	$804	$202	25%	—	$369 – $1.1k
24	Tricare facility · fee schedule · outpatient · +9 other terms	14	$752	$756	$157	21%	—	$510 – $1.1k
25	Bcbs Mn fee schedule · outpatient · +8 other terms	13	$1.0k	$981	$260	27%	—	$558 – $1.3k

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