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TLSO, Flexible, Sacrococcygeal to T-9, Off-the-Shelf

Colorado rates for HCPCS L0455

Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, extends from sacrococcygeal junction to above T-9 vertebra, restricts gross trunk motion in the sagittal plane, 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, Sacrococcygeal to T-9, Off-the-Shelf cost?

$166

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $166 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$129 to $209
FacilityA hospital or hospital-owned outpatient department$166$95.50 to $229

How much rates vary

Facilitymedian $166 · 10th to 90th $83 to $355Professionalmedian $166 · 10th to 90th $95 to $275
$100$200$500facility $166professional $166

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$165.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$138.04
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$213.80
Typical High
$380.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$239.88
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$288.40
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$165.96
Typical High
$426.58
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$83.18
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$177.83
Typical High
$630.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$371.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$295.12

Where Colorado sits

The same service costs 3.6 times more in Kansas 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.

Colorado· 42nd of 51

$166

KS $417DC $115

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.