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Sacroiliac Orthosis, Flexible, Off-the-Shelf

Alabama 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

Rates data updated July 2026.

Facilitymedian $68 · 10th–90th $39$1070%20%40%10th90th$68Professionalmedian $56 · 10th–90th $43$710%20%40%10th90th$56$0.1$0.5$2.0$10.0$50.0$200.0

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
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$70.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$61.66
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$79.43