Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, 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, 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 cost in Indiana
$1,158
Cash from
$1,158–$4,287
Cash range · 13 distinct prices
$826
Insurer rates from
16
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Mar 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL - CARMEL | Carmel | $1,280 | $826 | Jul 2025472 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE | Mooresville | $1,273 | $997 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS | Indianapolis | $1,158 | $997 | Jan 2026288 days old |
| FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL | Carmel | $1,158 | $997 | Jan 2026288 days old |
| Indiana University Health North Hospital Inc. | Carmel | $2,720 | $1,237 | Mar 2026205 days old |
| Indiana University Health Bedford Inc. | Bedford | $2,735 | $1,237 | Mar 2026205 days old |
| Indiana University Health Frankfort Inc. | Frankfort | $3,869 | $1,237 | Mar 2026205 days old |
| Indiana University Health Jay Inc. | Portland | $4,287 | $1,237 | Mar 2026205 days old |
| Indiana University Health White Memorial Hospital Inc. | Monticello | $2,987 | $1,237 | Mar 2026205 days old |
| Indiana University Health West Hospital Inc. | Avon | $2,720 | $1,237 | Mar 2026205 days old |
| Indiana University Health Paoli Inc. | Paoli | $3,676 | $1,237 | Mar 2026205 days old |
| Indiana University Health Ball Memorial Hospital Inc. | Muncie | $2,033 | $1,237 | Mar 2026205 days old |
| Indiana University Health Bloomington Inc. | Bloomington | $2,359 | $1,237 | Mar 2026205 days old |
| Indiana University Health Tipton Hospital Inc. | Tipton | $3,608 | $1,237 | Mar 2026205 days old |
| Indiana University Health Inc. | Indianapolis | $2,720 | $1,237 | Mar 2026205 days old |
| Indiana University Health Arnett Inc. | Lafayette | $2,394 | $1,237 | Mar 2026205 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- BAPTIST HEALTHCARE SYSTEM INCLUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY
- BAPTIST HEALTHCARE SYSTEM INCLUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY
- BAPTIST HEALTHCARE SYSTEM INCLUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY
- BAPTIST HEALTHCARE SYSTEM INCLUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY
- BAPTIST HEALTHCARE SYSTEM INCLUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY
- BAPTIST HEALTHCARE SYSTEM INCLUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY
- BAPTIST HEALTHCARE SYSTEM INC.LUMBAR-SACRAL ORTHOSIS, SAGITTAL CONTROL, WITH RIGID ANTERIOR AND POSTERIOR PANELS, POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA, PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS, INCLUDES STRAPS, CLOSURES, MAY
- Beavercreek Medical CenterLso sag r an/pos pnl pre cst
- Berger HospitalLso sag r an/pos pnl pre cst
- Bethesda Hospital Inc.Lso sag r an/pos pnl pre cst
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