go back

Sacroiliac Orthosis, Flexible, Off-the-Shelf

Florida 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?

$52.48

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $51.29 from a physician practice, and about $56.23 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 8 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$51.29$44.67 to $75.86
FacilityA hospital or hospital-owned outpatient department$56.23$46.77 to $174

How much rates vary

Facilitymedian $56 · 10th to 90th $46 to $174Professionalmedian $51 · 10th to 90th $39 to $78
$50$100facility $56professional $51

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$52.48
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$77.62
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$177.83
AvMed
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
AvMed
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$75.86
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$67.61
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$77.62
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$77.62
Typical High
$89.13
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$54.95
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$52.48
Typical High
$74.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$77.62
Typical High
$77.62

Where Florida 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.

Florida· 31st of 51

$52.48

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.