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

Kansas 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?

$417

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $234 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 5 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$417$204 to $417
FacilityA hospital or hospital-owned outpatient department$234$186 to $263

How much rates vary

Facilitymedian $234 · 10th to 90th $83 to $417Professionalmedian $417 · 10th to 90th $162 to $417
$100$200$500$1Kfacility $234professional $417

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
$234.42
Median
$234.42
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$251.19
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$229.09
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$208.93
Typical High
$316.23

Where Kansas 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.

Kansas· 1st of 51

$417

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.