HCPCS L0635

Lumbar-sacral orthosis, sagittal-coronal control, lumbar flexion, rigid posterior frame/panel(s), lateral articulating design to flex the lumbar spine, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, anterior panel, pendulous abdomen design, prefabricated, includes fitting and adjustment

Current codeLumbar Sacral Orthosis Brace23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L0635 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,242 – $1,3666 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,242 – $1,3668 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,268 – $1,3945 plans$1,553$2,218
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,268 – $1,5217 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,242 – $1,3667 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,242 – $1,3667 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,242 – $1,3667 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,242 – $1,3667 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,279 – $1,3667 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,268 – $1,3183 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,268 – $1,5217 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,268 – $2,0287 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,268 – $1,3946 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,268 – $2,0287 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,268 – $1,5218 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,268 – $1,5218 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,268 – $1,5218 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,268 – $1,5218 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,242 – $1,3667 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,268 – $1,3945 plans$1,960$2,801
Virginia Mason Medical CenterSeattle$870 – $1,3059 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,242 – $1,3918 plans——

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
$1,268 (fee)