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Texas rates for HCPCS L0488

Thoracic-lumbar-sacral orthosis (TLSO), triplanar control, one-piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, prefabricated, includes fitting and adjustment

Facilitymedian $933 · 10th–90th $537$2,6300%20%10th90th$933Professionalmedian $575 · 10th–90th $513$8710%50%10th90th$575$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$537.03
Median
$537.03
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$575.44
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$776.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,754.40
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$8,912.51
Typical High
$8,912.51
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$954.99
Typical High
$1,584.89
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$1,202.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$933.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$912.01
Typical High
$1,621.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$776.25
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$776.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,230.27
Typical High
$1,230.27