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
OKEECHOBEE, FL
See all hospitals reporting HCPCS L0621 →Price type
Hca Florida Raulerson Hospital’s median price of $95 is 21% above the median hospital's median price ($79), higher than 66% 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: 7 payers, 11 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 tricr fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 2 | Devoted mcr fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 3 | Humana mgmcrhmo fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 4 | Humana mgmcrppo fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 5 | UnitedHealthcare gvt fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 6 | Blue Cross Blue Shield mcrhmo fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 7 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 8 | UnitedHealthcare mcr fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 9 | Aetna mcr fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 10 | Cigna Healthspring mcr fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 11 | Amerihealth Caritas mgmcr fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
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.