HCPCS L0623
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
Current code25 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $30.40 | $76.00 |
| Deaconess Medical Center | — | $30.40 | $76.00 |
| Mary Bridge Children's Hospital | — | $30.40 | $76.00 |
| MultiCare Auburn Medical Center | — | $30.40 | $76.00 |
| MultiCare Covington Medical Center | — | $30.40 | $76.00 |
| MultiCare Good Samaritan Hospital | — | $30.40 | $76.00 |
| MultiCare Valley Hospital | — | $30.40 | $76.00 |
| Tacoma General Allenmore Hospital | — | $30.40 | $76.00 |
| Yakima Valley Memorial | — | $30.40 | $76.00 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $60.40 (fee)