Flexible trunk brace for back support

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Tlso T9 Corst W/Stays Custom Fit L0454

Payers reporting HCPCS L0454

Payer pricing summary

Low

$108

Average

$544

Median

$447

High

$1.9k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	373	$433	$486	$492	101%	—	$186 – $6.0k
2	Aetna fee schedule · outpatient · +15 other terms	361	$431	$495	$232	47%	—	$213 – $2.8k
3	Humana fee schedule · outpatient · +13 other terms	319	$427	$639	$686	107%	—	$219 – $3.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	219	$437	$560	$293	52%	—	$0 – $2.1k
5	WellCare fee schedule · outpatient · +8 other terms	209	$441	$453	$67	15%	—	$400 – $812
6	Devoted fee schedule · outpatient · +4 other terms	165	$429	$431	$10	2%	—	$414 – $518
7	Molina fee schedule · outpatient · +9 other terms	138	$610	$590	$220	37%	—	$292 – $1.1k
8	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$437	$437	$15	3%	—	$429 – $523
9	Cigna fee schedule · outpatient · +15 other terms	107	$441	$575	$542	94%	—	$400 – $6.2k
10	Anthem fee schedule · outpatient · +9 other terms	80	$422	$582	$564	97%	—	$275 – $3.2k
11	Kaiser fee schedule · outpatient · +7 other terms	65	$440	$695	$482	69%	—	$414 – $3.1k
12	Caresource fee schedule · outpatient · +5 other terms	41	$429	$427	$70	16%	—	$234 – $659
13	Superior Healthplan fee schedule · outpatient	40	$450	$450	$2	0%	—	$420 – $450
14	Clover fee schedule · outpatient · +3 other terms	37	$429	$431	$23	5%	—	$408 – $508
15	Ambetter facility · fee schedule · outpatient · +7 other terms	36	$761	$786	$193	25%	—	$408 – $1.1k
16	Oscar fee schedule · outpatient · +6 other terms	36	$450	$495	$105	21%	—	$420 – $721
17	Optum fee schedule · outpatient · +3 other terms	33	$429	$560	$227	41%	—	$411 – $1.1k
18	Medica facility · fee schedule · outpatient · +5 other terms	24	$436	$401	$102	25%	—	$142 – $707
19	Medicare fee schedule · outpatient · +1 other terms	19	$414	$415	$4	1%	—	$400 – $422
20	Regence facility · fee schedule · outpatient · +5 other terms	19	$448	$430	$34	8%	—	$347 – $457
21	Amerihealth Caritas fee schedule · outpatient · +3 other terms	18	$514	$500	$28	6%	—	$424 – $514
22	Bcbs Tx fee schedule · outpatient	18	$420	$420	—	—	—	$420 – $420
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$426	$491	$121	25%	—	$232 – $673
24	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$388	$387	$90	23%	—	$189 – $454
25	Wellmark fee schedule · both · +1 other terms	13	$408	$405	$16	4%	—	$310 – $408

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