HCPCS L0649

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/panels, produces intracavitary pressure to reduce load on 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

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.

Prices for HCPCS L0649 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$83.48 – $70116 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$116 – $6689 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$157 – $1962 plans——
Island HospitalAnacortes$486 – $5464 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$166 – $5195 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$83.48 – $1,1787 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$81.17 – $69417 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$81.17 – $69417 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$128 – $69412 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$92.76 – $66710 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$108 – $94610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$166 – $5339 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$166 – $6515 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$118 – $6177 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$83.40 – $8698 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$147 – $1,2627 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$147 – $7297 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$147 – $7299 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$147 – $8729 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$81.17 – $69417 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$157 – $3085 plans——
Virginia Mason Medical CenterSeattle$92.76 – $4447 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2481 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$83.48 – $84113 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
$98.12 (fee)