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

Oklahoma 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?

$75.86

Typical negotiated rate. In Oklahoma, July 2026.

Insurers have agreed to pay about $75.86 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $74.13 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 4 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$75.86$72.44 to $102
FacilityA hospital or hospital-owned outpatient department$74.13$74.13 to $129

How much rates vary

Facilitymedian $74 · 10th to 90th $72 to $182Professionalmedian $76 · 10th to 90th $63 to $158
$50$100$200$500$1Kfacility $74professional $76

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
$72.44
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$74.13
Typical High
$83.18
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
$151.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$83.18
Typical High
$501.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$128.82
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$95.50
Typical High
$158.49

Where Oklahoma 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.

Oklahoma· 32nd of 51

$75.86

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.