πŸ“‹ Medical Procedure Code

L0622

Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
Other Descriptions:
Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
SACROILIAC ORTHOTIC FLEXIBLE CUSTOM FABRICATED
Sio flex pelvisacral custom
Related codes:
Code: L0621
Description: 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
HCPCS Category: Orthotic/prosthetic procedures
Code: L0623
Description: 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 pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Code: L0624
Description: Sacroiliac orthosis, provides pelvic-sacral support, with rigid or semi-rigid panels placed over the sacrum and abdomen, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Code: L0625
Description: Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Code: L0626
Description: Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures
Code: L0627
Description: Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures
Code: L0628
Description: Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Code: L0629
Description: Lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures

Hospital Prices in California

Detailed hospital-level pricing for procedure code L0629 across California. Compare prices from different hospitals to understand cost variations in your area.

πŸ—ΊοΈ Hospital Locations Map

πŸ’‘ Tip: Click on any marker to see hospital details. Colors indicate relative pricing - red shows higher prices, green shows lower prices.

πŸ“Š Hospital Prices in California

State Average: $1,679

Hospital Address Code Price Last Updated
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara L0622 $650 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco L0622 $650 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills L0622 $650 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento L0622 $650 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch L0622 $650 [source] 4 years ago
Kaiser Foundation Hospitals 39400 Paseo Padre Pkwy, Fremont L0622 $650 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto L0622 $650 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville L0622 $650 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro L0622 $650 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek L0622 $650 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento L0622 $650 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond L0622 $650 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon L0622 $650 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City L0622 $650 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo L0622 $650 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael L0622 $650 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco L0622 $650 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno L0622 $650 [source] 4 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville L0622 $650 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose L0622 $650 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Modesto 1303 Mable Avenue, Modesto L0622 $744 [source] 4 years ago
Mills-Peninsula Medical Center 1501 Trousdale Dr, Burlingame L0622 $23,195 [source] 4 years ago

ℹ️ About This Data

The prices shown are from hospital chargemaster files, which represent the list prices hospitals charge before insurance negotiations or discounts. Your actual cost may be different depending on your insurance coverage, deductibles, and negotiated rates. Always check with your insurance provider and hospital for accurate cost estimates.


ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR Β§180.