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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $52.48 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $48.98 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $64.57 / $151.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $63.10 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $57.54 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $52.48 / $81.28