Flexible pelvic and sacral support brace, prefabricated at Lewisgale Hospital Pulaski

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

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

PULASKI, VA

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How this price compares nationally

Lewisgale Hospital Pulaski’s median price of $91 is 16% above the median hospital's median price ($79), higher than 63% of the 1,124 hospitals reporting HCPCS L0621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0621 at Lewisgale Hospital Pulaski

Negotiated rates from the hospital’s own file: 6 payers, 8 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	$68	$68	—	—	—	$68 – $68
2	Humana mcr fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
3	Magellan mcr fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
4	UnitedHealthcare vaccn fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
5	UnitedHealthcare mgmcr fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
6	Aetna mgmcr fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
7	Anthem mgmcr fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
8	Cigna Healthspring mcr fee schedule · outpatient	$95	$95	—	—	—	$95 – $95

Last updated: Mar 7, 2026

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