HCPCS L0641
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, off-the-shelf
Current codeLumbar Sacral Orthosis Brace25 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $26.14 – $28.75 | — | — |
| Deaconess Medical Center | $26.14 – $28.75 | — | — |
| Harborview Medical Center | $26.67 – $29.34 | — | — |
| Island Hospital | $82.49 – $87.44 | — | — |
| Kadlec Regional Medical Center | $26.67 – $32.00 | — | — |
| Mary Bridge Children's Hospital | $26.14 – $28.75 | — | — |
| MultiCare Auburn Medical Center | $26.14 – $28.75 | — | — |
| MultiCare Covington Medical Center | $26.14 – $28.75 | — | — |
| MultiCare Good Samaritan Hospital | $26.14 – $28.75 | — | — |
| MultiCare Valley Hospital | $26.92 – $28.75 | — | — |
| Olympic Medical Center | $86.61 – $111 | — | — |
| Overlake Hospital Medical Center & Clinics | $26.67 – $27.74 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $26.67 – $32.00 | — | — |
| Providence Centralia Hospital | $26.67 – $42.67 | — | — |
| Providence Regional Medical Center Everett | $26.67 – $29.34 | — | — |
| Providence St Peter Hospital | $26.67 – $42.67 | — | — |
| Swedish Edmonds Hospital | $26.67 – $32.00 | — | — |
| Swedish Issaquah | $26.67 – $32.00 | — | — |
| Swedish Medical Center | $26.67 – $32.00 | — | — |
| Swedish Medical Center / Cherry Hill | $26.67 – $32.00 | — | — |
| Tacoma General Allenmore Hospital | $26.14 – $28.75 | — | — |
| University of Washington Medical Ctr | $26.67 – $29.34 | — | — |
| Virginia Mason Medical Center | $18.18 – $27.27 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $26.14 – $29.27 | — | — |
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
- $26.67 (fee)