Thoracolumbosacral orthosis with sagittal control, rigid back frame

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 r fram soft pre ots

Payers reporting HCPCS L0467

Payer pricing summary

Low

$41

Average

$360

Median

$357

High

$746

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +13 other terms	377	$290	$321	$199	62%	—	$130 – $2.7k
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	363	$294	$296	$68	23%	—	$113 – $520
3	Humana fee schedule · outpatient · +13 other terms	337	$299	$525	$800	152%	—	$133 – $3.8k
4	WellCare fee schedule · outpatient · +6 other terms	223	$294	$304	$60	20%	—	$137 – $520
5	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	221	$296	$350	$243	69%	—	$0 – $2.4k
6	Devoted fee schedule · outpatient · +4 other terms	178	$300	$291	$47	16%	—	$189 – $449
7	Molina fee schedule · outpatient · +7 other terms	144	$337	$371	$158	43%	—	$130 – $1.0k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	123	$309	$295	$37	13%	—	$198 – $418
9	Cigna fee schedule · outpatient · +11 other terms	106	$302	$333	$134	40%	—	$133 – $857
10	Anthem fee schedule · outpatient · +6 other terms	84	$294	$363	$340	94%	—	$133 – $1.9k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$202	$297	$269	91%	—	$133 – $1.7k
12	Superior Healthplan fee schedule · outpatient	41	$299	$303	$20	7%	—	$277 – $417
13	Clover fee schedule · outpatient · +2 other terms	39	$299	$296	$42	14%	—	$258 – $407
14	Ambetter facility · fee schedule · outpatient · +8 other terms	35	$462	$633	$229	36%	—	$294 – $965
15	Optum fee schedule · outpatient · +3 other terms	35	$302	$365	$161	44%	—	$189 – $712
16	Oscar fee schedule · outpatient · +7 other terms	35	$279	$301	$52	17%	—	$226 – $507
17	Caresource fee schedule · outpatient · +5 other terms	28	$302	$331	$41	12%	—	$259 – $396
18	Bcbs Tx fee schedule · outpatient	23	$277	$307	$57	19%	—	$277 – $416
19	Regence facility · fee schedule · outpatient · +3 other terms	20	$206	$255	$107	42%	—	$110 – $479
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	19	$363	$360	$42	12%	—	$270 – $465
21	Medicare fee schedule · outpatient · +1 other terms	18	$189	$213	$59	28%	—	$189 – $367
22	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$256	$304	$76	25%	—	$140 – $405
23	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$372	$368	$103	28%	—	$206 – $497
24	Medica fee schedule · outpatient · +4 other terms	13	$518	$531	$162	31%	—	$301 – $734
25	Wellmark fee schedule · both · +2 other terms	13	$360	$355	$28	8%	—	$184 – $360

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