Thoracolumbosacral orthosis (back brace) with rigid 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 rigid frame pre subclav

Payers reporting HCPCS L0470

Payer pricing summary

Low

$254

Average

$976

Median

$847

High

$2.4k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +14 other terms	360	$837	$934	$504	54%	—	$420 – $6.8k
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	359	$796	$801	$210	26%	—	$1 – $2.6k
3	Humana fee schedule · outpatient · +13 other terms	318	$835	$1.2k	$1.2k	101%	—	$415 – $5.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	220	$860	$1.1k	$669	61%	—	$0 – $8.3k
5	WellCare fee schedule · outpatient · +5 other terms	209	$801	$820	$166	20%	—	$684 – $1.7k
6	Devoted fee schedule · outpatient · +4 other terms	165	$776	$764	$55	7%	—	$704 – $996
7	Molina fee schedule · outpatient · +5 other terms	138	$1.1k	$1.0k	$385	37%	—	$509 – $1.9k
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$762	$776	$72	9%	—	$733 – $1.0k
9	Cigna fee schedule · outpatient · +12 other terms	103	$868	$897	$257	29%	—	$684 – $2.4k
10	Anthem fee schedule · outpatient · +7 other terms	80	$733	$1.1k	$1.1k	100%	—	$480 – $6.1k
11	Kaiser fee schedule · outpatient · +4 other terms	64	$747	$1.3k	$941	73%	—	$704 – $5.7k
12	Superior Healthplan fee schedule · outpatient · +2 other terms	40	$769	$769	$4	0%	—	$718 – $769
13	Clover fee schedule · outpatient · +2 other terms	37	$837	$840	$44	5%	—	$769 – $977
14	Oscar fee schedule · outpatient · +3 other terms	36	$885	$943	$297	32%	—	$718 – $1.7k
15	Ambetter facility · fee schedule · outpatient · +6 other terms	34	$1.5k	$1.6k	$349	22%	—	$826 – $2.1k
16	Optum fee schedule · outpatient · +4 other terms	33	$843	$988	$372	38%	—	$704 – $1.8k
17	Caresource fee schedule · outpatient · +4 other terms	28	$843	$887	$224	25%	—	$480 – $1.2k
18	Medica facility · fee schedule · outpatient · +5 other terms	22	$827	$752	$195	26%	—	$270 – $1.3k
19	Medicare fee schedule · outpatient · +1 other terms	19	$704	$705	$7	1%	—	$684 – $718
20	Amerihealth Caritas fee schedule · outpatient · +3 other terms	18	$1.0k	$974	$82	8%	—	$747 – $1.0k
21	Bcbs Tx fee schedule · outpatient	18	$718	$718	—	—	—	$718 – $718
22	Regence facility · fee schedule · outpatient · +6 other terms	17	$762	$752	$33	4%	—	$651 – $777
23	Medical Mutual facility · fee schedule · outpatient · +1 other terms	15	$809	$933	$230	25%	—	$440 – $1.3k
24	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	14	$1.6k	$1.6k	$128	8%	—	$1.4k – $1.7k
25	Bcbs Mn fee schedule · outpatient · +6 other terms	13	$735	$735	$172	23%	—	$358 – $861

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