Rigid lower back brace with stays, custom fitted at AMH Cath Labs LLC

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 SAG STAYS/PANELS PRE FAB

Arlington, TX

See all hospitals reporting HCPCS L0626 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $137 is 39% above the median hospital's median price ($99), higher than 80% of the 934 hospitals reporting HCPCS L0626. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0626 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$24	$24	—	—	—	$24 – $24
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
6	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$81	$81	—	—	—	$81 – $81
7	Blue Cross Blue Shield medicare advantage case rate · outpatient	$96	$96	—	—	—	$96 – $96
8	Humana medicare advantage case rate · outpatient	$100	$100	—	—	—	$100 – $100
9	Humana medicare advantage ppo case rate · outpatient	$100	$100	—	—	—	$100 – $100
10	Molina medicare advantage case rate · outpatient	$101	$101	—	—	—	$101 – $101
11	WellCare medicare advantage hmo case rate · outpatient	$101	$101	—	—	—	$101 – $101
12	WellCare medicare advantage mmp case rate · outpatient	$106	$106	—	—	—	$106 – $106
13	UnitedHealthcare medicare advantage ppo case rate · outpatient	$107	$107	—	—	—	$107 – $107
14	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
15	UnitedHealthcare medicare advantage hmo case rate · outpatient	$109	$109	—	—	—	$109 – $109
16	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
17	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
18	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
19	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
21	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$165	$165	—	—	—	$165 – $165
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$174	$174	—	—	—	$174 – $174
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$182	$182	—	—	—	$182 – $182
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$182	$182	—	—	—	$182 – $182
25	Aetna asa percent of total billed charges · outpatientfrom % of charges	$183	$183	—	—	—	$183 – $183

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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