ARCLYFT™ Navigator

Find California DME/O&P vendors, compare devices within a product family, and look up published Medicare and Medi-Cal fees for supported HCPCS codes.

Look up by HCPCS instead

Lumbar-sacral orthoses

Reference spend per item

Unsure whether a request calls for custom fitting or off-the-shelf delivery? Talk with ARCLYFT about fitting.

ARCLYFT™ Navigator Plus · Worked examples

What changes the spend for the same brace?

A prefabricated lumbar brace can qualify for different codes depending on the fitting actually performed. These examples use one brace and one unit.

Spend A vs. Spend B

California Medicare, non-rural

Spend A · L0631 Custom fitted
$1,231.38
Spend B · L0648 Off-the-shelf
$351.28

$880.10 lower per brace for the off-the-shelf fitting code. Under Medi-Cal, the same off-the-shelf code is $110.58 higher than its custom-fitted counterpart.

Same code, different fee schedule

California Medicare versus Medi-Cal FFS

CodeMedicareMedi-Cal
L0631$1,231.38$645.31
L0648$351.28$755.89

Medi-Cal reference spend is $404.61 higher for L0648 and $586.07 lower for L0631.

Fee sources and how to read the amounts

Reference spend uses 100% of the published amount for one code and one unit. Medicare uses California non-rural rates from October 2026 (DME26-D). Medi-Cal uses California fee-for-service rates on file from October 15, 2026. Contracted payments and member responsibility can differ. Coverage and appropriate coding depend on the service, clinical circumstances and documentation.

Each slider stop represents one priced code. Equal amounts have separate stops. Codes with an individual price or no listed fee appear separately.

Medicare DMEPOS fee schedules · Medi-Cal rates · CMS lower limb prostheses · CMS component descriptions