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

Florida 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?

$200

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $200 from a physician practice, and about $229 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$200$174 to $251
FacilityA hospital or hospital-owned outpatient department$229$182 to $646

How much rates vary

Facilitymedian $229 · 10th to 90th $178 to $646Professionalmedian $200 · 10th to 90th $145 to $282
$100$200$500facility $229professional $200

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
$177.83
Median
$204.17
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$199.53
Typical High
$281.84
AvMed
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
AvMed
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$269.15
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$363.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$275.42
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$186.21
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$295.12
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$269.15

Where Florida 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.

Florida· 31st of 51

$200

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.