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, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervert
Argyle, TX
See all hospitals reporting HCPCS L0643 →Price type
Medical City Denton’s median price of $125 is 1% below the median hospital's median price ($126), higher than 44% of the 841 hospitals reporting HCPCS L0643. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 25 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 tricare fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 3 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 4 | Devoted hmo fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 5 | Devoted mcr fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 6 | Devoted mme fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 7 | Devoted pos fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 8 | Devoted ppo fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 9 | Devoted snp fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 10 | Humana mgmcr fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 11 | UnitedHealthcare mgmcr fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 12 | Aetna mcr fee schedule · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 13 | Cigna Healthspring mgmcr fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 14 | WellCare mgmcr fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 15 | Superior Healthplan mgmcrdualeligible fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 16 | Superior Healthplan mgmcrhmo fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 17 | Superior Healthplan mgmcrpffs fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 18 | Superior Healthplan mgmcrpos fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 19 | Superior Healthplan mgmcrppo fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 20 | Superior Healthplan mgmcrsnp fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 21 | Molina mcr fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 22 | Molina mme fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 23 | Molina mmp fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 24 | Molina hix fee schedule · outpatient | $311 | $311 | — | — | — | $311 – $311 |
| 25 | Humana comm fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Mar 1, 2026
See Back brace for lower spine with rigid back panel pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.