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TLSO, Sagittal-Coronal Control, Rigid Frame, Off-the-Shelf

Delaware rates for HCPCS L0469

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, off-the-shelf

Rates data updated July 2026.

How much does TLSO, Sagittal-Coronal Control, Rigid Frame, Off-the-Shelf cost?

$191

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $191 for this service. Most negotiated rates run $170 to $282.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $275 · 10th to 90th $0 to $380Professionalmedian $191 · 10th to 90th $170 to $631
$1.0$10.0$100.0$1.0Kfacility $275professional $191

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
$169.82
Median
$169.82
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$0.41
Median
$257.04
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$309.03
Typical High
$436.52

Where Delaware sits

The same service costs 3.9 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Delaware $191 · 50th of 51
HI $631DC $162

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.