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Kansas 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

Facilitymedian $93 · 10th–90th $29$1580%20%10th90th$93Professionalmedian $105 · 10th–90th $69$1260%50%10th90th$105$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$79.43
Typical High
$125.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$91.20
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$100.00
Typical High
$575.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$104.71
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$104.71
Typical High
$173.78