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
Pennsylvania
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of Altoona 2005 Valley View Blvd, Altoona L0621 $55 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Reading 1623 Morgantown Rd, Reading L0621 $57 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Mechanicsburg 175 Lancaster Blvd, Mechanicsburg L0621 $59 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Harmarville 320 Guys Run Road, Pittsburgh L0621 $60 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Sewickley 303 Campmeeting Rd, Sewickley L0621 $60 [source] 4 years ago
Geisinger Encompass Health Rehabilitation Hospital 2 Rehab Ln, Danville L0621 $61 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Nittany Valley 550 W College Ave, Bellefonte L0621 $63 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Erie 143 E 2Nd St, Erie L0621 $66 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of York 1850 Normandie Dr, L0621 $90 [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.