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TLSO, Sagittal-Coronal Control, One-Piece Rigid Shell

North Dakota rates for HCPCS L0490

Thoracic-lumbar-sacral orthosis (TLSO), sagittal-coronal control, one-piece rigid plastic shell, with overlapping reinforced anterior, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates at or before the T-9 vertebra, anterior extends from symphysis pubis to xiphoid, anterior opening, restricts gross trunk motion in sagittal and coronal planes, prefabricated, includes fitting and adjustment

Rates data updated July 2026.

Facilitymedian $251 · 10th–90th $234$4900%50%10th90th$251Professionalmedian $324 · 10th–90th $182$4170%20%10th90th$324$100.0$200.0$500.0$1.0K$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
$234.42
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$380.19
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$398.11
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$1,584.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$234.42
Typical High
$398.11