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, 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 pend
PULASKI, VA
See all hospitals reporting HCPCS L0623 →Price type
Lewisgale Hospital Pulaski’s median price of $175 is 29% above the median hospital's median price ($136), higher than 80% of the 831 hospitals reporting HCPCS L0623. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $131 | $131 | — | — | — | $131 – $131 |
| 2 | Humana mcr fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 3 | Magellan mcr fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 4 | UnitedHealthcare vaccn fee schedule · outpatient | $175 | $175 | — | — | — | $175 – $175 |
| 5 | UnitedHealthcare mgmcr fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 6 | Aetna mgmcr fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 7 | Anthem mgmcr fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 8 | Cigna Healthspring mcr fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
Last updated: Mar 7, 2026
See Sacroiliac support brace with rigid panels pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.