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

New Jersey 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?

$257

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $347 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 byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$224 to $525
FacilityA hospital or hospital-owned outpatient department$347$347 to $347

How much rates vary

Facilitymedian $347 · 10th to 90th $178 to $525Professionalmedian $257 · 10th to 90th $178 to $525
$200$500facility $347professional $257

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
Facility
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$204.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$229.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$524.81
Cigna
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$346.74
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$691.83
Typical High
$691.83
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Horizon BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$275.42
Typical High
$501.19

Where New Jersey 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.

New Jersey· 50th of 51

$257

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.