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

Mississippi 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?

$83.18

Typical negotiated rate. In Mississippi, October 2026.

Insurers have agreed to pay about $83.18 for this service. The price depends on where it is billed: about $83.18 from a physician practice, and about $83.18 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$83.18$79.43 to $107
FacilityA hospital or hospital-owned outpatient department$83.18$83.18 to $83.18

How much rates vary

Facilitymedian $83 · 10th to 90th $52 to $83Professionalmedian $83 · 10th to 90th $38 to $120
$50$100$200facility $83professional $83

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
$79.43
Median
$79.43
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$93.33
Typical High
$120.23
BCBS Mississippi
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
BCBS Mississippi
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
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
$257.04
United
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$107.15
Typical High
$158.49

Where Mississippi 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.

Mississippi· 35th of 51

$83.18

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.