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Sacroiliac Orthosis, Flexible, Off-the-Shelf

Maryland 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 Maryland, July 2026.

Insurers have agreed to pay about $43.65 for this service. Most negotiated rates run $30.90 to $57.54.

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.

How much rates vary

Facilitymedian $60 · 10th to 90th $39 to $68Professionalmedian $44 · 10th to 90th $31 to $78
$50$100facility $60professional $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
Professional
Modifier
Global
Typical Low
$30.90
Median
$36.31
Typical High
$72.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
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
$67.61
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$67.61
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$51.29
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$52.48
Typical High
$83.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$61.66

Where Maryland 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.

Maryland· 46th 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.