go back

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

Louisiana 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 October 2026.

How much does Sacroiliac Orthosis, Rigid or Semi-Rigid, Off-the-Shelf cost?

$115

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $245 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$70.79 to $129
FacilityA hospital or hospital-owned outpatient department$245$182 to $355

How much rates vary

Facilitymedian $245 · 10th to 90th $52 to $437Professionalmedian $115 · 10th to 90th $38 to $129
$50$100$200$500facility $245professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$114.82
Median
$114.82
Typical High
$123.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$123.03
Typical High
$123.03
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$323.59
Typical High
$457.09
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Christus
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
Cigna
Setting
Facility
Modifier
None
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$52.48
United
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$213.80
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$63.10
Median
$107.15
Typical High
$158.49

Where Louisiana sits

The same service costs 5.4 times more in Hawaii than in New Hampshire. 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.

Louisiana· 15th of 51

$115

HI $214NH $39.81

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.