Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
CHESTERFIELD, VA
See all hospitals reporting HCPCS L0621 →Price type
Chippenham Hospital’s median price of $77 is 2% below the median hospital's median price ($79), higher than 44% of the 1,124 hospitals reporting HCPCS L0621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana trcr fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 2 | Humana mcr fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 3 | UnitedHealthcare vaccn fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 4 | Aetna mgmcr fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 5 | UnitedHealthcare mgmcr fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 6 | Cigna Healthspring mcr fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
Last updated: Mar 1, 2026
See Flexible pelvic and sacral support brace, prefabricated pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.