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HCPCS L0626

Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Current codeLumbar Sacral Orthosis Brace27 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$80.55 – $62519 plans$47.60$119
Deaconess Medical CenterSpokaneFile dated 2026-08-27$44.21 – $38916 plans$47.60$119
Harborview Medical CenterSeattleFile dated 2026-04-01$150 – $1872 plans$115$164
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$141 – $2635 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$76.86 – $68618 plans$47.60$119
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$78.31 – $40420 plans$47.60$119
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$78.31 – $40420 plans$47.60$119
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$78.31 – $40420 plans$47.60$119
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$44.21 – $38816 plans$47.60$119
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$85.74 – $25710 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$145 – $3109 plans$247 – $462$353 – $660
Providence Centralia HospitalCentraliaFile dated 2026-04-01$158 – $3505 plans$146 – $489$280 – $941
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$247 – $462$353 – $660
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$233 – $438$333 – $625
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$112 – $2177 plans$155 – $541$298 – $1,041
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$233 – $438$333 – $625
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$147 – $381$210 – $544
Providence St Peter HospitalOlympiaFile dated 2026-04-01$79.46 – $3058 plans$146 – $489$280 – $941
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$140 – $3437 plans$95.76 – $335$200 – $699
Swedish IssaquahIssaquahFile dated 2026-04-01$140 – $2087 plans$95.76 – $335$200 – $699
Swedish Medical CenterSeattleFile dated 2026-04-01$140 – $3349 plans$95.76 – $335$200 – $699
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$140 – $3349 plans$95.76 – $335$200 – $699
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$78.31 – $40420 plans$47.60$119
University of Washington Medical CtrSeattleFile dated 2026-04-01$150 – $2935 plans$147$210
Virginia Mason Medical CenterSeattle$89.50 – $3257 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2361 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$58.31 – $24319 plans$47.60$119

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$93.48 (fee)