TLSO, Rigid Posterior Panel and Soft Apron, Custom Fitted
Montana 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 October 2026.
How much does TLSO, Rigid Posterior Panel and Soft Apron, Custom Fitted cost?
$1,202
Typical negotiated rate. In Montana, October 2026.
Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,259 from a hospital or other facility.
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 6 insurance carriers under federal price transparency rules.
Prices by location type
Billed by
Who charges it
Typical
Range
Physician practiceA doctor's office, clinic or independent provider
A doctor's office, clinic or independent provider
$1,175
$550 to $1,259
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$1,259
$1,230 to $70,795
How much rates vary
Facilitymedian $1,259 · 10th to 90th $813 to $72,444Professionalmedian $1,175 · 10th to 90th $79 to $1,349
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
Insurance Carrier
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$645.65
Typical High
$1,122.02
Professional
None
$398.11
$645.65
$1,122.02
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Professional
None
$1,174.90
$1,174.90
$1,174.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,258.93
Typical High
$1,258.93
Facility
None
$812.83
$1,258.93
$1,258.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,258.93
Professional
None
$1,023.29
$1,258.93
$1,258.93
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,548.82
Typical High
$72,443.60
Facility
None
$933.25
$1,548.82
$72,443.60
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$75,857.76
Professional
None
$1,230.27
$1,348.96
$75,857.76
Providence
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$1,258.93
Typical High
$1,258.93
Facility
None
$741.31
$1,258.93
$1,258.93
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$954.99
Typical High
$1,258.93
Professional
None
$79.43
$954.99
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$537.03
Typical High
$891.25
Professional
None
$489.78
$537.03
$891.25
Where Montana sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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.