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TLSO, Triplanar Control, Rigid Frame, Prefabricated

Iowa rates for HCPCS L0470

Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding extends from sacrococcygeal junction to scapula, lateral strength provided by pelvic, thoracic, and lateral frame pieces, rotational strength provided by subclavicular extensions, restricts gross trunk motion in sagittal, coronal, and transverse planes, provides intracavitary pressure to reduce load on the intervertebral disks, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $355$1,9950%10%20%10th90th$603Professionalmedian $490 · 10th–90th $295$1,0000%20%10th90th$490$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$549.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$870.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$912.01
Typical High
$1,148.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$954.99
Typical High
$3,801.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$1,288.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$891.25
Typical High
$1,122.02
Midlands
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$794.33
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$389.05
Typical High
$794.33
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$776.25