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TLSO, Triplanar Control, Two Rigid Shells, Prefabricated

Connecticut rates for HCPCS L0458

Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, modular segmented spinal system, two rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

How much does TLSO, Triplanar Control, Two Rigid Shells, Prefabricated cost?

$513

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $692 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 6 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$513$457 to $617
FacilityA hospital or hospital-owned outpatient department$692$575 to $1,072

How much rates vary

Facilitymedian $692 · 10th to 90th $398 to $1,072Professionalmedian $513 · 10th to 90th $437 to $1,023
$500$1K$2K$5Kfacility $692professional $513

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$501.19
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$616.60
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
ConnectiCare
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$1,174.90
Health New England
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$912.01

Where Connecticut sits

The same service costs 2.5 times more in Minnesota 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.

Connecticut· 44th of 51

$513

MN $1,072DC $427

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.