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

Rhode Island 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?

$355

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $1,148 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 4 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	$355	$302 to $372
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$1,148	$912 to $1,318

How much rates vary

Facilitymedian $1,148 · 10th to 90th $708 to $1,445Professionalmedian $355 · 10th to 90th $245 to $525

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 Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $371.54	Professional	None	$331.13	$371.54	$371.54
BCBS Rhode Island Setting Facility Modifier None Typical Low $912.01 Median $1,258.93 Typical High $1,445.44	Facility	None	$912.01	$1,258.93	$1,445.44
BCBS Rhode Island Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $537.03	Professional	None	$245.47	$354.81	$537.03
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74	Facility	None	$346.74	$346.74	$346.74
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74	Professional	None	$251.19	$251.19	$346.74
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95	Facility	None	$707.95	$707.95	$707.95
United Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $524.81	Professional	None	$234.42	$338.84	$524.81

Where Rhode Island 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.

Rhode Island· 22nd of 51

$355

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.