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

Virginia

Hospital	Address	Code	Price	Last Updated
Encompass Health Rehabilitation Hospital Of Fredericksburg	300 Park Hill Dr, Fredericksburg	L0621	$86 [source]	4 years ago
Uva Encompass Health Rehabilitation Hospital	515 Ray C Hunt Dr, Charlottesville	L0621	$86 [source]	4 years ago
Encompass Health Rehabilitation Hospital Of Petersburg	95 Pinehill Blvd, Petersburg	L0621	$86 [source]	4 years ago
Encompass Health Rehabilitation Hospital Of Richmond	5700 Fitzhugh Ave, Richmond	L0621	$86 [source]	4 years ago
Encompass Health Rehabilitation Hospital Of Northern Virginia	24430 Millstream Drive, Aldie	L0621	$86 [source]	4 years ago
Vcu Health System	1250 E Marshall St, Richmond	L0621	$176 [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 §180.