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Sacroiliac Orthosis, Flexible, Off-the-Shelf

Kentucky 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?

$43.65

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $43.65 for this service. The price depends on where it is billed: about $43.65 from a physician practice, and about $54.95 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 7 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$43.65$33.88 to $56.23
FacilityA hospital or hospital-owned outpatient department$54.95$43.65 to $81.28

How much rates vary

Facilitymedian $55 · 10th to 90th $44 to $105Professionalmedian $44 · 10th to 90th $30 to $66
$50$100$200facility $55professional $44

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
$43.65
Median
$43.65
Typical High
$44.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$43.65
Typical High
$66.07
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$81.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$81.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$63.10
CareSource
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$100.00
Typical High
$131.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$346.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$75.86
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$75.86

Where Kentucky 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.

Kentucky· 47th of 51

$43.65

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.