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Sacroiliac Orthosis, Flexible, Off-the-Shelf

Oklahoma 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 Oklahoma, July 2026.

Insurers have agreed to pay about $58.88 for this service. The price depends on where it is billed: about $63.10 from a physician practice, and about $51.29 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 5 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$63.10$41.69 to $75.86
FacilityA hospital or hospital-owned outpatient department$51.29$40.74 to $87.10

How much rates vary

Facilitymedian $51 · 10th to 90th $40 to $129Professionalmedian $63 · 10th to 90th $40 to $76
$50$100$200$500facility $51professional $63

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
$39.81
Median
$40.74
Typical High
$40.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$41.69
Typical High
$63.10
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
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
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$67.61
Typical High
$323.59
Medica
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$53.70
Typical High
$112.20
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$51.29
Typical High
$74.13

Where Oklahoma 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.

Oklahoma· 26th 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.