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Sacroiliac Orthosis, Flexible, Off-the-Shelf

Nevada 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?

$40.74

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $40.74 for this service. The price depends on where it is billed: about $44.67 from a physician practice, and about $21.38 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$44.67$28.18 to $63.10
FacilityA hospital or hospital-owned outpatient department$21.38$21.38 to $33.88

How much rates vary

Facilitymedian $21 · 10th to 90th $21 to $60Professionalmedian $45 · 10th to 90th $21 to $87
$20$50$100facility $21professional $45

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
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$33.88
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$67.61
Typical High
$114.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$77.62
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$33.88
Typical High
$81.28
Select Health
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.20
Typical High
$107.15
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$51.29
Typical High
$64.57
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$51.29
Typical High
$79.43

Where Nevada 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.

Nevada· 49th of 51

$40.74

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.