Lumbar-sacral back brace with rigid posterior 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 sc r pos/lat pnl pre ots

Payers reporting HCPCS L0649

54 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	Aetna fee schedule · outpatient · +14 other terms	378	$213.98	$236.92	$95.54 – $1,778
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	365	$216.91	$220.07	$1.47 – $349.01
3	Humana fee schedule · outpatient · +9 other terms	338	$220.54	$382.94	$98.12 – $2,725
4	WellCare fee schedule · outpatient · +5 other terms	224	$216.91	$224.20	$100.97 – $380.89
5	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	222	$220.59	$260.19	$0.29 – $1,707
6	Devoted fee schedule · outpatient · +3 other terms	179	$220.91	$214.84	$139.54 – $326.33
7	Molina fee schedule · outpatient · +5 other terms	144	$254.73	$273.75	$95.54 – $755.95
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	123	$227.76	$217.58	$146.23 – $311.63
9	Cigna fee schedule · outpatient · +10 other terms	107	$222.77	$247.67	$98.08 – $632.32
10	Anthem fee schedule · outpatient · +8 other terms	82	$216.91	$261.02	$98.12 – $1,418
11	Kaiser fee schedule · outpatient · +4 other terms	64	$149.15	$213.78	$98.12 – $1,178
12	Superior Healthplan fee schedule · outpatient	41	$220.57	$223.01	$204.55 – $302.96
13	Clover fee schedule · outpatient · +2 other terms	39	$220.57	$218.23	$190.32 – $302.98
14	Optum fee schedule · outpatient · +3 other terms	36	$222.77	$268.70	$139.54 – $525.17
15	Ambetter facility · fee schedule · outpatient · +6 other terms	35	$340.40	$468.73	$216.91 – $719.46
16	Oscar fee schedule · outpatient · +6 other terms	35	$205.87	$222.26	$166.80 – $373.99
17	Caresource fee schedule · outpatient · +5 other terms	28	$222.77	$241.17	$191.00 – $292.27
18	Bcbs Tx fee schedule · outpatient	23	$204.55	$225.77	$204.55 – $302.16
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	19	$267.32	$266.16	$199.37 – $346.26
20	Medicare fee schedule · outpatient · +1 other terms	19	$139.54	$170.70	$139.54 – $320.21
21	Regence facility · fee schedule · outpatient · +2 other terms	19	$152.08	$184.54	$81.21 – $321.70
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$189.11	$224.55	$102.95 – $298.79
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$279.45	$276.46	$155.96 – $375.42
24	Medica fee schedule · outpatient · +4 other terms	13	$382.30	$391.33	$221.82 – $540.93
25	Wellmark fee schedule · both · +2 other terms	13	$274.74	$271.09	$135.87 – $274.74

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