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
Combination, bilateral, lumbo-sacral, hip, femur orthosis providing adduction and internal rotation control, prefabricated, includes fitting and adjustment
Argyle, TX
See all hospitals reporting HCPCS L1690 →Price type
Medical City Denton’s median price of $2.5k is 3% above the median hospital's median price ($2.4k), higher than 61% of the 856 hospitals reporting HCPCS L1690. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana tricare fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 3 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 4 | Devoted hmo fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 5 | Devoted mcr fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 6 | Devoted mme fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 7 | Devoted pos fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 8 | Devoted ppo fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | Devoted snp fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 10 | Humana mgmcr fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 11 | UnitedHealthcare mgmcr fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 12 | Aetna mcr fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 13 | Cigna Healthspring mgmcr fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | WellCare mgmcr fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | Superior Healthplan mgmcrdualeligible fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 16 | Superior Healthplan mgmcrhmo fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 17 | Superior Healthplan mgmcrpffs fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 18 | Superior Healthplan mgmcrpos fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | Superior Healthplan mgmcrppo fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | Superior Healthplan mgmcrsnp fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 21 | Molina mcr fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 22 | Molina mme fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 23 | Molina mmp fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 24 | Molina hix fee schedule · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 25 | Humana comm fee schedule · outpatient | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
Last updated: Mar 1, 2026
See Prefabricated bilateral hip-to-lumbosacral brace with adduction control pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.