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TLSO, Sagittal-Coronal Control, Rigid Frame, Custom Fitted

Maryland rates for HCPCS L0468

Thoracic-lumbar-sacral orthosis (TLSO), sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, 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, Sagittal-Coronal Control, Rigid Frame, Custom Fitted cost?

$309

Typical negotiated rate. In Maryland, October 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $251 to $347.

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.

How much rates vary

Facilitymedian $347 · 10th to 90th $347 to $347Professionalmedian $309 · 10th to 90th $229 to $417
$200$500facility $347professional $309

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
Aetna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$229.09
Typical High
$275.42
CareFirst
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$398.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$346.74
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$575.44
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$281.84
Typical High
$446.68
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$489.78

Where Maryland sits

The same service costs 3.0 times more in Hawaii than in Delaware. 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.

Maryland· 31st of 51

$309

HI $741DE $251

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.