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TLSO, Rigid Posterior Panel and Soft Apron, Custom Fitted

Iowa rates for HCPCS L0456

Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks, includes straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Rates data updated July 2026.

How much does TLSO, Rigid Posterior Panel and Soft Apron, Custom Fitted cost?

$759

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $955 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$759$589 to $1,096
FacilityA hospital or hospital-owned outpatient department$955$741 to $1,698

How much rates vary

Facilitymedian $955 · 10th to 90th $562 to $3,020Professionalmedian $759 · 10th to 90th $525 to $1,380
$1.0$10.0$100.0$1.0Kfacility $955professional $759

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
$562.34
Median
$831.76
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$741.31
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,380.38
Typical High
$1,737.80
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,412.54
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,995.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,659.59
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,230.27
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$1,202.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,202.26

Where Iowa sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $759 · 14th of 51
MN $1,202DC $479

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.