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Thoracic-Lumbar-Sacral Orthosis (TLSO), Triplanar Control

Virginia 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

Rates data updated July 2026.

How much does Thoracic-Lumbar-Sacral Orthosis (TLSO), Triplanar Control cost?

$661

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $661 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $1,202 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$646$589 to $794
FacilityA hospital or hospital-owned outpatient department$1,202$794 to $1,202

How much rates vary

Facilitymedian $1,202 · 10th to 90th $589 to $1,479Professionalmedian $646 · 10th to 90th $490 to $1,122
$500$1K$2K$5K$10Kfacility $1,202professional $646

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,288.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$1,380.38
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$741.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,698.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$794.33
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$776.25
Typical High
$1,380.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$724.44
Typical High
$1,513.56
Sentara
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$2,570.40
Sentara
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,000.00
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$588.84
Typical High
$933.25

Where Virginia sits

The same service costs 2.9 times more in Kansas than in Washington, DC. 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.

Virginia· 28th of 51

$661

KS $1,380DC $479

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.