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
BRACE BELT BACK ANTERIOR PANEL SMALL/MEDIUM ISOFORM 24-48IN 1116
Hackensack, NJ
See all hospitals reporting HCPCS L0626 →Price type
Hmh Hospitals Corporation’s median price of $117 is 18% above the median hospital's median price ($99), higher than 75% of the 938 hospitals reporting HCPCS L0626. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 11 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $32 | $32 | $5 | 16% | — | $26 – $37 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | $6 | 16% | — | $32 – $45 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $52 | $52 | $8 | 16% | — | $44 – $60 |
| 4 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $86 | $86 | $14 | 16% | — | $72 – $99 |
| 5 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $93 | $93 | $15 | 16% | — | $78 – $108 |
| 6 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $93 | $93 | $15 | 16% | — | $78 – $108 |
| 7 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | $20 | 16% | — | $103 – $143 |
| 8 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | $20 | 16% | — | $103 – $143 |
| 9 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $123 | $123 | $20 | 16% | — | $103 – $143 |
| 10 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $140 | $140 | $22 | 16% | — | $118 – $162 |
| 11 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $149 | $149 | $24 | 16% | — | $125 – $173 |
Last updated: Dec 31, 2025
See Rigid lower back brace with stays, custom fitted pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.