TLSO, Triplanar Control, Two Rigid Shells, Custom Fitted
North Dakota rates for HCPCS L0460
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 sternal notch, 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 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, Triplanar Control, Two Rigid Shells, Custom Fitted cost?
$1,175
Typical negotiated rate. In North Dakota, October 2026.
Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $891 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 5 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
$891 to $1,380
FacilityA hospital or hospital-owned outpatient department
A hospital or hospital-owned outpatient department
$891
$891 to $955
How much rates vary
Facilitymedian $891 · 10th to 90th $832 to $2,692Professionalmedian $1,175 · 10th to 90th $537 to $1,413
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Facility
None
$891.25
$891.25
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$891.25
Typical High
$891.25
Professional
None
$645.65
$891.25
$891.25
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,380.38
Typical High
$1,380.38
Professional
None
$1,023.29
$1,380.38
$1,380.38
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,230.27
Median
$1,659.59
Typical High
$1,659.59
Professional
22 · Increased work
$1,230.27
$1,659.59
$1,659.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Facility
None
$954.99
$954.99
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,412.54
Typical High
$1,737.80
Professional
None
$954.99
$1,412.54
$1,737.80
Medica
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$891.25
Typical High
$5,623.41
Facility
None
$562.34
$891.25
$5,623.41
Medica
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$602.56
Typical High
$1,000.00
Professional
None
$489.78
$602.56
$1,000.00
United
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$602.56
Typical High
$977.24
Professional
None
$426.58
$602.56
$977.24
Where North Dakota sits
The same service costs 2.0 times more in Hawaii 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.