Back brace for lower spine with rigid shell

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 sag-co shell pnl pre ots

Payers reporting HCPCS L0651

Payer pricing summary

Low

$121

Average

$1.2k

Median

$1.1k

High

$2.8k

Payer rate distribution

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Filter by billing class

#
1	Aetna fee schedule · outpatient · +14 other terms	378	$886	$982	$574	58%	—	$396 – $7.5k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	364	$898	$908	$214	24%	—	$345 – $1.5k
3	Humana fee schedule · outpatient · +10 other terms	338	$914	$1.6k	$2.4k	151%	—	$406 – $11.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	234	$923	$1.1k	$810	72%	—	$0 – $8.3k
5	WellCare fee schedule · outpatient · +4 other terms	224	$898	$933	$193	21%	—	$418 – $1.7k
6	Devoted fee schedule · outpatient · +3 other terms	179	$915	$895	$160	18%	—	$578 – $1.5k
7	Molina fee schedule · outpatient · +4 other terms	144	$1.0k	$1.1k	$483	43%	—	$396 – $3.2k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	123	$943	$905	$129	14%	—	$606 – $1.4k
9	Cigna fee schedule · outpatient · +8 other terms	107	$923	$1.0k	$407	40%	—	$406 – $2.6k
10	Anthem fee schedule · outpatient · +6 other terms	82	$898	$1.1k	$1.0k	96%	—	$406 – $5.9k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$618	$873	$724	83%	—	$406 – $4.7k
12	Superior Healthplan fee schedule · outpatient	41	$914	$924	$62	7%	—	$847 – $1.3k
13	Clover fee schedule · outpatient · +2 other terms	39	$914	$915	$159	17%	—	$788 – $1.4k
14	Ambetter facility · fee schedule · outpatient · +6 other terms	36	$1.4k	$2.0k	$835	41%	—	$898 – $3.2k
15	Optum fee schedule · outpatient · +2 other terms	36	$923	$1.1k	$492	44%	—	$578 – $2.2k
16	Oscar fee schedule · outpatient · +6 other terms	35	$853	$921	$158	17%	—	$691 – $1.5k
17	Caresource fee schedule · outpatient · +5 other terms	28	$923	$1.0k	$134	13%	—	$791 – $1.3k
18	Bcbs Tx fee schedule · outpatient	23	$847	$939	$174	19%	—	$847 – $1.3k
19	Regence facility · fee schedule · outpatient · +3 other terms	20	$630	$743	$283	38%	—	$336 – $1.3k
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	19	$1.1k	$1.1k	$164	15%	—	$826 – $1.6k
21	Medicare fee schedule · outpatient · +1 other terms	18	$578	$645	$167	26%	—	$578 – $1.1k
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$783	$936	$240	26%	—	$426 – $1.3k
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$1.2k	$1.2k	$371	30%	—	$705 – $1.7k
24	Medica fee schedule · outpatient · +4 other terms	13	$1.6k	$1.6k	$495	31%	—	$919 – $2.2k
25	Wellmark fee schedule · both · +2 other terms	13	$1.1k	$1.1k	$92	8%	—	$563 – $1.1k

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