go back

TLSO, Flexible, Upper Thoracic, Off-the-Shelf

Hawaii rates for HCPCS L0450

Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated, off-the-shelf

Rates data updated July 2026.

How much does TLSO, Flexible, Upper Thoracic, Off-the-Shelf cost?

$251

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $135 to $251.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $123 · 10th to 90th $98 to $234Professionalmedian $251 · 10th to 90th $72 to $263
$100$200facility $123professional $251

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$234.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$229.09
Typical High
$316.23
HMSA
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$263.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$251.19
Typical High
$354.81
United
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$162.18
Typical High
$371.54

Where Hawaii sits

The same service costs 4.3 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 1st of 51

$251

HI $251DC $58.88

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.