PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates

HCPCS L0622 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Sacroiliac orthosis (SO), flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
Key FactDetail
Service Type

Orthotic Procedures and services

Sacral Orthotics

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for L0622

National average reimbursement for HCPCS L0622 by major payers:

bcbs

$276.76

uhc

$173.70

aetna

$183.30

cigna

$250.59

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS L0622.

HCPCS L0622
5 of 25 sample ratesHigher to lower in this preview
  1. Emory Crawford Long Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1225281603Tax ID 58-2030692

    $494.50Published rate
  2. Jefferson Kilpatrick

    NCFacial Plastic Surgery PhysicianNPI 1417979501Tax ID 45-5568773

    $146.74Published rate
  3. Michael Koch

    Pathology Lab Of Georgia LLC

    GAGeneral Acute Care HospitalNPI 1508900101Tax ID 20-8418894

    $145.19Published rate
  4. Michael Guillette

    Aztec Urgent Care LLC

    COPhysician AssistantNPI 1174512115Tax ID 27-1495988

    $134.25Published rate
  5. Alicia Encinas

    Miguel A Arenas Md PC

    CAFamily Nurse PractitionerNPI 1548859895Tax ID 30-0394179

    $96.80Published rate

National sample. Rates vary by location, specialty, and contract.

Get a free rate benchmark for your specialty.

Choose your state and specialty to build a report from payer-published rates.

Use market rates to prepare your payer proposal.

Rate Benchmarking

Compare your rates with similar providers.

Select a published rate, define comparable providers, and see where that rate falls in your market.

See a sample rate comparison

Payer Contract Negotiation

Draft a fee schedule renegotiation letter.

Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.

See a sample payer proposal

HCPCS L0622 vs. Other Sacral Orthotics Codes

The HCPCS L0622 code is part of the Orthotic Procedures and services services used for Sacral Orthotics. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS L0622 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
L0621-HCPCSLowSacroiliac orthosis (SO), flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, prefabricated, off-the-shelf
L0622-HCPCSModerateSacroiliac orthosis (SO), flexible, provides pelvic-sacral support, reduces motion about the sacroiliac joint, includes straps, closures, may include pendulous abdomen design, custom fabricated
L0623-HCPCSLowSacroiliac orthosis (SO), 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

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L0622. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the L0622 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

FREE SAMPLE MARKET COMPARISON

Let's review your payer contracts side-by-side with the market.

Bring your top codes (like HCPCS L0622) and we'll show you how you compare in 15 minutes or less.