Code: L0621

Description:
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
Other Descriptions:
Sio Flex Pelvisacral Prefab
HC PF SIO FLEX PELVISACRAL
HC SACRO ILIAC SUPPORT
ELCROSS SACRAL SUPPORT SMALL
Related codes:
Code: L0622
ORTHOSIS SACROLILAC FLEX
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: L0625
SUPPORT LUMBAR SACRO 10
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
BRACE LO SAGTL RIGD LVL1
Code: L0628
BRACE FLEX SUPPORT L0628
Code: L0629
LSO FLX SURG SUPP
Nevada
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of Las Vegas 1250 S Valley View Blvd, Las Vegas L0621 $75 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Henderson 10301 Jeffreys St, Henderson L0621 $75 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Desert Canyon 9175 W Oquendo Rd, Las Vegas L0621 $75 [source] 4 years ago
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas L0621 $218 [source] 4 years ago
Northern Nevada Medical Center 2375 E Prater Way, Sparks L0621 $633 [source] 4 years ago
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas L0621 $905 [source] 4 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson L0621 $2,240 [source] 4 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas L0621 $2,240 [source] 4 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas L0621 $2,240 [source] 4 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas L0621 $2,251 [source] 4 years ago
Mountainview Hospital 3100 N Tenaya Way, Las Vegas L0621 $4,708 [source] 4 years ago
Sunrise Hospital & Medical Center 3186 S Maryland Pkwy, Las Vegas L0621 $4,893 [source] 4 years ago

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 ยง180.