Code: L0622

Description:
Description: Sacroiliac orthosis, flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
HC SIO FLEX PELVISACRL CUST
SACROILIAC ORTHOTIC FLEXIBLE CUSTOM FABRICATED
Sio flex pelvisacral custom
Related codes:
Code: L0621
SUPPORT ORTH SCROILIAC
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
Florida
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of Altamonte Springs 831 S State Road 434, Altamonte Springs L0622 $402 [source] 4 years ago
Doctors Hospital Of Sarasota 5731 Bee Ridge Rd, Sarasota L0622 $1,005 [source] 4 years ago
Oak Hill Hospital 11375 Cortez Blvd, Brooksville L0622 $1,005 [source] 4 years ago
Brandon Regional Hospital 119 Oakfield Dr, Brandon L0622 $1,005 [source] 4 years ago
Blake Medical Center 2020 59Th St West, Bradenton L0622 $1,005 [source] 4 years ago
Northside Hospital 6000 49Th St North, Saint Petersburg L0622 $1,005 [source] 4 years ago
Rmc Bayonet Point (Level Ii Trauma Center) 14000 Fivay Rd, Hudson L0622 $1,005 [source] 4 years ago
Fawcett Memorial Hospital 21298 Olean Blvd, Port Charlotte L0622 $1,005 [source] 4 years ago
St. Petersburg General Hospital 6500 38Th Ave N, Saint Petersburg L0622 $1,005 [source] 4 years ago
Largo Medical Center 201 14Th St Sw, Largo L0622 $1,005 [source] 4 years ago
Medical Center Of Trinity 9330 State Rd 54, New Port Richey L0622 $1,005 [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.