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
Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral di
PULASKI, VA
See all hospitals reporting HCPCS L0628 →Price type
Lewisgale Hospital Pulaski’s median price of $83 is 21% above the median hospital's median price ($69), higher than 59% of the 1,047 hospitals reporting HCPCS L0628. 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, 8 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 | Humana trcr fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 2 | Humana mcr fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 3 | Magellan mcr fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 4 | UnitedHealthcare vaccn fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 5 | UnitedHealthcare mgmcr fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 6 | Aetna mgmcr fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 7 | Anthem mgmcr fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 8 | Cigna Healthspring mcr fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
Last updated: Mar 7, 2026
See Flexible lumbar-sacral back brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.