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Sacroiliac Orthosis, Flexible, Off-the-Shelf

Connecticut 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.

How much does Sacroiliac Orthosis, Flexible, Off-the-Shelf cost?

$58.88

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $67.61 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$47.86 to $66.07
FacilityA hospital or hospital-owned outpatient department$67.61$60.26 to $75.86

How much rates vary

Facilitymedian $68 · 10th to 90th $49 to $78Professionalmedian $59 · 10th to 90th $37 to $93
$50$100facility $68professional $59

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$53.70
Typical High
$93.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$75.86
Typical High
$91.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$89.13
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
$48.98
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$54.95
Typical High
$100.00
Health New England
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
Health New England
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$81.28

Where Connecticut sits

The same service costs 4.2 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Connecticut· 25th of 51

$58.88

HI $129DC $30.90

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.