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

Nevada 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?

$162

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $67.61 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$162$100 to $204
FacilityA hospital or hospital-owned outpatient department$67.61$67.61 to $275

How much rates vary

Facilitymedian $68 · 10th to 90th $68 to $646Professionalmedian $162 · 10th to 90th $68 to $339
$50$100$200$500facility $68professional $162

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
$67.61
Median
$67.61
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$114.82
Typical High
$501.19
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$275.42
Select Health
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Select Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$107.15
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$186.21
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$186.21
Typical High
$295.12

Where Nevada 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.

Nevada· 45th of 51

$162

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.