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-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/
Irving, TX
See all hospitals reporting HCPCS L0649 →Price type
Medical City Las Colinas’s median price of $221 is 1% below the median hospital's median price ($223), higher than 45% of the 821 hospitals reporting HCPCS L0649. 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 | $203.77 | $203.77 | $203.77 – $203.77 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $204.55 | $204.55 | $204.55 – $204.55 |
| 3 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $204.55 | $204.55 | $204.55 – $204.55 |
| 4 | Devoted hmo fee schedule · outpatient | $210.07 | $210.07 | $210.07 – $210.07 |
| 5 | Devoted mcr fee schedule · outpatient | $210.07 | $210.07 | $210.07 – $210.07 |
| 6 | Devoted mme fee schedule · outpatient | $210.07 | $210.07 | $210.07 – $210.07 |
| 7 | Devoted pos fee schedule · outpatient | $210.07 | $210.07 | $210.07 – $210.07 |
| 8 | Devoted ppo fee schedule · outpatient | $210.07 | $210.07 | $210.07 – $210.07 |
| 9 | Devoted snp fee schedule · outpatient | $210.07 | $210.07 | $210.07 – $210.07 |
| 10 | Humana mgmcr fee schedule · outpatient | $210.07 | $210.07 | $210.07 – $210.07 |
| 11 | UnitedHealthcare mgmcr fee schedule · outpatient | $211.12 | $211.12 | $211.12 – $211.12 |
| 12 | Aetna mcr fee schedule · outpatient | $211.86 | $211.86 | $211.86 – $211.86 |
| 13 | Cigna Healthspring mgmcr fee schedule · outpatient | $214.27 | $214.27 | $214.27 – $214.27 |
| 14 | WellCare mgmcr fee schedule · outpatient | $216.37 | $216.37 | $216.37 – $216.37 |
| 15 | Superior Healthplan mgmcrdualeligible fee schedule · outpatient | $220.57 | $220.57 | $220.57 – $220.57 |
| 16 | Superior Healthplan mgmcrhmo fee schedule · outpatient | $220.57 | $220.57 | $220.57 – $220.57 |
| 17 | Superior Healthplan mgmcrpffs fee schedule · outpatient | $220.57 | $220.57 | $220.57 – $220.57 |
| 18 | Superior Healthplan mgmcrpos fee schedule · outpatient | $220.57 | $220.57 | $220.57 – $220.57 |
| 19 | Superior Healthplan mgmcrppo fee schedule · outpatient | $220.57 | $220.57 | $220.57 – $220.57 |
| 20 | Superior Healthplan mgmcrsnp fee schedule · outpatient | $220.57 | $220.57 | $220.57 – $220.57 |
| 21 | Molina mcr fee schedule · outpatient | $228.98 | $228.98 | $228.98 – $228.98 |
| 22 | Molina mme fee schedule · outpatient | $228.98 | $228.98 | $228.98 – $228.98 |
| 23 | Molina mmp fee schedule · outpatient | $228.98 | $228.98 | $228.98 – $228.98 |
| 24 | Molina hix fee schedule · outpatient | $550.38 | $550.38 | $550.38 – $550.38 |
| 25 | Humana comm fee schedule · outpatient | $2,002 | $2,002 | $2,002 – $2,002 |
Last updated: Mar 1, 2026
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