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Sacroiliac Orthosis, Rigid or Semi-Rigid, Off-the-Shelf

Colorado rates for HCPCS L0623

Sacroiliac orthosis (SO), provides pelvic-sacral support, with rigid or semi-rigid panels over the sacrum and abdomen, 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, Rigid or Semi-Rigid, Off-the-Shelf cost?

$70.79

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $70.79 for this service. The price depends on where it is billed: about $70.79 from a physician practice, and about $83.18 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$70.79$48.98 to $83.18
FacilityA hospital or hospital-owned outpatient department$83.18$48.98 to $102

How much rates vary

Facilitymedian $83 · 10th to 90th $29 to $162Professionalmedian $71 · 10th to 90th $39 to $120
$50$100$200facility $83professional $71

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
$48.98
Median
$48.98
Typical High
$85.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$69.18
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$109.65
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$39.81
Typical High
$199.53
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$61.66
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$74.13
Typical High
$165.96
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$89.13
Typical High
$331.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$165.96
Typical High
$190.55
Select Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$112.20
Typical High
$177.83
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$95.50
Typical High
$158.49

Where Colorado sits

The same service costs 3.9 times more in Hawaii than in California. 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.

Colorado· 45th of 51

$70.79

HI $204CA $52.48

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.