Lumbar back brace with rigid front and 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

BRACE ULTRALIGN LSO L/P 15D XL

Payers reporting HCPCS L0650

Payer pricing summary

Low

$247

Average

$1.0k

Median

$971

High

$3.2k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +19 other terms	388	$885	$1.0k	$694	68%	—	$1 – $7.5k
2	UnitedHealthcare fee schedule · outpatient · +19 other terms	386	$894	$972	$538	55%	—	$1 – $5.3k
3	Humana fee schedule · outpatient · +19 other terms	340	$914	$1.6k	$2.4k	154%	—	$1 – $11.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	241	$908	$1.1k	$849	75%	—	$0 – $9.1k
5	WellCare fee schedule · outpatient · +9 other terms	227	$898	$924	$185	20%	—	$418 – $1.7k
6	Devoted fee schedule · outpatient · +9 other terms	171	$905	$878	$155	18%	—	$578 – $1.5k
7	Molina fee schedule · outpatient · +14 other terms	148	$1.0k	$1.1k	$484	43%	—	$1 – $3.2k
8	Cigna Healthspring fee schedule · outpatient · +4 other terms	123	$943	$905	$129	14%	—	$606 – $1.4k
9	Cigna fee schedule · outpatient · +19 other terms	114	$897	$1.3k	$913	72%	—	$406 – $5.0k
10	Anthem fee schedule · outpatient · +14 other terms	94	$856	$1.1k	$1.0k	89%	—	$406 – $5.9k
11	Kaiser fee schedule · outpatient · +12 other terms	72	$618	$881	$682	77%	—	$406 – $4.7k
12	Caresource fee schedule · outpatient · +12 other terms	46	$923	$761	$288	38%	—	$1 – $1.3k
13	Clover fee schedule · outpatient · +2 other terms	44	$914	$919	$151	16%	—	$788 – $1.4k
14	Ambetter facility · fee schedule · outpatient · +12 other terms	43	$1.4k	$1.8k	$731	40%	—	$898 – $3.2k
15	Superior Healthplan fee schedule · outpatient · +1 other terms	41	$914	$924	$62	7%	—	$847 – $1.3k
16	Oscar fee schedule · outpatient · +11 other terms	36	$857	$938	$186	20%	—	$691 – $1.5k
17	Optum fee schedule · outpatient · +7 other terms	28	$923	$1.1k	$541	47%	—	$578 – $2.2k
18	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$479	$418	$68	16%	—	$326 – $540
19	Amerihealth Caritas fee schedule · outpatient · +4 other terms	25	$1.1k	$992	$202	20%	—	$796 – $1.6k
20	Medicare fee schedule · outpatient · +4 other terms	25	$578	$767	$241	31%	—	$578 – $1.2k
21	Bcbs Tx fee schedule · outpatient	23	$847	$939	$174	19%	—	$847 – $1.3k
22	Medica facility · fee schedule · outpatient · +10 other terms	23	$926	$926	$297	32%	—	$300 – $1.6k
23	Regence facility · fee schedule · outpatient · +7 other terms	20	$630	$756	$292	39%	—	$336 – $1.3k
24	Tricare facility · fee schedule · outpatient · +9 other terms	18	$870	$809	$210	26%	—	$255 – $1.2k
25	Highmark fee schedule · outpatient · +8 other terms	17	$1.0k	$1.1k	$402	38%	—	$370 – $2.6k

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