TLSO, Triplanar Control, Rigid Frame, Prefabricated

West Virginia 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 October 2026.

How much does TLSO, Triplanar Control, Rigid Frame, Prefabricated cost?

$372

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $372 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $513 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	$372	$372 to $513
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$513	$513 to $832

How much rates vary

Facilitymedian $513 · 10th to 90th $513 to $1,148Professionalmedian $372 · 10th to 90th $355 to $794

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 $354.81 Median $371.54 Typical High $371.54	Professional	None	$354.81	$371.54	$371.54
CareSource Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03	Facility	None	$537.03	$537.03	$537.03
CareSource Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $1,000.00	Professional	None	$575.44	$575.44	$1,000.00
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $1,148.15	Facility	None	$512.86	$512.86	$1,148.15
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $3,981.07	Professional	None	$371.54	$371.54	$3,981.07
United Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76	Facility	None	$831.76	$831.76	$831.76
United Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $794.33	Professional	None	$338.84	$407.38	$794.33

Where West Virginia sits

The same service costs 3.8 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.

West Virginia· 50th of 51

$372

HI $1,413DE $372

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.