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.
Original text from hospital filings
Lo flex l1-below l5 pre ots
Edina, MN
See all hospitals reporting HCPCS L0625 →Price type
Fairview Health Services’s median price of $49 is 9% above the median hospital's median price ($45), higher than 57% of the 1,249 hospitals reporting HCPCS L0625. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 33 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn pmap fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Medica managed medicaid/accessability fee schedule · both | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Sanford Health Plan medicare advantage fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 5 | WellCare medicare advantage fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Ucare medicare advantage/msho fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 7 | Bcbs Mn medicare advantage fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 8 | Medica medicare advantage non-snp fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Ucare pmap fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 10 | Bcbs Mn pmap fee schedule · both | $43 | $43 | — | — | — | $43 – $43 |
| 11 | Medica medicare advantage non-snp fee schedule · both | $43 | $43 | — | — | — | $43 – $43 |
| 12 | Medica msho/medicare advantage snp fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 13 | Ucare pmap fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 14 | Medica managed medicaid/accessability fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 15 | Bcbs Mn aware federal fee schedule · both | $50 | $50 | — | — | — | $50 – $50 |
| 16 | Bcbs Mn aware/blue plus fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 17 | Medica msho/medicare advantage snp fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 18 | Bcbs Mn aware federal fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 19 | Ucare individual and family with m health fairview fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 20 | Bcbs Mn aware/blue plus fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 21 | Medica bold fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 22 | Medica vantage self insured fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 23 | Medica city of st. paul/essential-uplan fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 24 | Medica individual and family business except aco fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 25 | Medica choice fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
Last updated: Feb 6, 2026
See Flexible off-the-shelf lower back brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.