HCPCS L0643
Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 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
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $47.15 – $396 | — | — |
| Deaconess Medical Center | $65.49 – $377 | — | — |
| Harborview Medical Center | $88.67 – $111 | — | — |
| Island Hospital | $274 – $309 | — | — |
| Kadlec Regional Medical Center | $93.66 – $293 | — | — |
| Mary Bridge Children's Hospital | $47.15 – $665 | — | — |
| MultiCare Auburn Medical Center | $45.84 – $392 | — | — |
| MultiCare Covington Medical Center | $45.84 – $392 | — | — |
| MultiCare Good Samaritan Hospital | $72.31 – $392 | — | — |
| MultiCare Valley Hospital | $52.39 – $377 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $60.96 – $534 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $93.66 – $301 | — | — |
| Providence Centralia Hospital | $93.66 – $367 | — | — |
| Providence Regional Medical Center Everett | $66.50 – $348 | — | — |
| Providence St Peter Hospital | $47.11 – $491 | — | — |
| Swedish Edmonds Hospital | $83.13 – $713 | — | — |
| Swedish Issaquah | $83.13 – $412 | — | — |
| Swedish Medical Center | $83.13 – $412 | — | — |
| Swedish Medical Center / Cherry Hill | $83.13 – $493 | — | — |
| Tacoma General Allenmore Hospital | $45.84 – $392 | — | — |
| University of Washington Medical Ctr | $88.67 – $174 | — | — |
| Virginia Mason Medical Center | $52.39 – $251 | — | — |
| Wellfound Behavioral Health Hospital | $140 | — | — |
| Yakima Valley Memorial | $47.15 – $475 | — | — |
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
- $55.42 (fee)