# HCPCS L0630: Lumbar-sacral orthosis, sagittal control, rigid posterior panel

Medicare HCPCS L0630 pays $198.07 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $194.26 in West Virginia to $213.67 in Puerto Rico, a 10% spread.

Web page: https://www.med-reveal.com/rates/L0630-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $198.07 |
| National facility | $198.07 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $213.67 | $213.67 |
| Virgin Islands | $213.67 | $213.67 |
| Colorado | $201.59 | $201.59 |
| Montana | $201.59 | $201.59 |
| North Dakota | $201.59 | $201.59 |
| South Dakota | $201.59 | $201.59 |
| Utah | $201.59 | $201.59 |
| Wyoming | $201.59 | $201.59 |
| Alabama | $200.07 | $200.07 |
| Florida | $200.07 | $200.07 |
| Georgia | $200.07 | $200.07 |
| Kentucky | $200.07 | $200.07 |
| Mississippi | $200.07 | $200.07 |
| North Carolina | $200.07 | $200.07 |
| South Carolina | $200.07 | $200.07 |
| Tennessee | $200.07 | $200.07 |
| Arkansas | $200.06 | $200.06 |
| Louisiana | $200.06 | $200.06 |
| New Mexico | $200.06 | $200.06 |
| Oklahoma | $200.06 | $200.06 |
| Texas | $200.06 | $200.06 |
| Illinois | $199.05 | $199.05 |
| Indiana | $199.05 | $199.05 |
| Michigan | $199.05 | $199.05 |
| Minnesota | $199.05 | $199.05 |
| Ohio | $199.05 | $199.05 |
| Wisconsin | $199.05 | $199.05 |
| Iowa | $198.02 | $198.02 |
| Kansas | $198.02 | $198.02 |
| Missouri | $198.02 | $198.02 |
| Nebraska | $198.02 | $198.02 |
| Alaska | $194.26 | $194.26 |
| Arizona | $194.26 | $194.26 |
| California | $194.26 | $194.26 |
| Connecticut | $194.26 | $194.26 |
| Delaware | $194.26 | $194.26 |
| District of Columbia | $194.26 | $194.26 |
| Hawaii | $194.26 | $194.26 |
| Idaho | $194.26 | $194.26 |
| Maine | $194.26 | $194.26 |
| Maryland | $194.26 | $194.26 |
| Massachusetts | $194.26 | $194.26 |
| Nevada | $194.26 | $194.26 |
| New Hampshire | $194.26 | $194.26 |
| New Jersey | $194.26 | $194.26 |
| New York | $194.26 | $194.26 |
| Oregon | $194.26 | $194.26 |
| Pennsylvania | $194.26 | $194.26 |
| Rhode Island | $194.26 | $194.26 |
| Vermont | $194.26 | $194.26 |
| Virginia | $194.26 | $194.26 |
| Washington | $194.26 | $194.26 |
| West Virginia | $194.26 | $194.26 |

## Related codes

- L0112: Cranial cervical orthosis, congenital torticollis type — https://www.med-reveal.com/rates/L0112-hcpcs-fee-schedule
- L0140: Cervical, semi-rigid, thermoplastic collar, molded to patient — https://www.med-reveal.com/rates/L0140-hcpcs-fee-schedule
- L0450: Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support — https://www.med-reveal.com/rates/L0450-hcpcs-fee-schedule
- L0500: Thoracic-lumbar-sacral orthosis (TLSO), rigid, custom fitted — https://www.med-reveal.com/rates/L0500-hcpcs-fee-schedule
- L0621: Sacroiliac orthosis, flexible, provides pelvic-sacral support — https://www.med-reveal.com/rates/L0621-hcpcs-fee-schedule
- L0810: Addition to halo procedure, cervical collar with attachment — https://www.med-reveal.com/rates/L0810-hcpcs-fee-schedule
- L1000: Cervical-thoracic-lumbar-sacral orthosis, anterior-posterior-lateral control — https://www.med-reveal.com/rates/L1000-hcpcs-fee-schedule
- L1685: Hip orthosis, abduction control of hip joints, dynamic — https://www.med-reveal.com/rates/L1685-hcpcs-fee-schedule

Commercial negotiated rates for L0630 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules