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Nationwide rates for HCPCS L0621

Sacroiliac orthosis (SO), flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf

Facilitymedian $65 · 10th–90th $40$1860%20%10th90th$65Professionalmedian $52 · 10th–90th $36$930%20%40%10th90th$52$0.1$2.0$50.0$1.0K$20.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $52.48 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $46.77 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $64.57 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $63.10 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $70.79 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $107.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $53.70 / $85.11