Rigid thoracolumbosacral spinal brace, prefabricated

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 HYPEREX PRE

Payers reporting HCPCS L0472

Payer pricing summary

Low

$161

Average

$691

Median

$654

High

$1.4k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	413	$522	$679	$458	67%	—	$1 – $3.2k
2	Aetna fee schedule · outpatient · +22 other terms	375	$531	$661	$414	63%	—	$133 – $3.7k
3	Humana fee schedule · outpatient · +21 other terms	326	$524	$750	$800	107%	—	$255 – $3.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	234	$540	$738	$516	70%	—	$0 – $7.8k
5	WellCare fee schedule · outpatient · +13 other terms	213	$527	$546	$107	20%	—	$109 – $1.1k
6	Devoted fee schedule · outpatient · +8 other terms	159	$511	$509	$27	5%	—	$446 – $632
7	Molina fee schedule · outpatient · +14 other terms	151	$658	$668	$270	40%	—	$298 – $1.3k
8	Cigna fee schedule · outpatient · +19 other terms	135	$545	$939	$606	65%	—	$241 – $3.4k
9	Cigna Healthspring fee schedule · outpatient · +4 other terms	116	$522	$521	$30	6%	—	$465 – $638
10	Anthem fee schedule · outpatient · +18 other terms	103	$480	$1.0k	$791	79%	—	$107 – $3.8k
11	Kaiser fee schedule · outpatient · +16 other terms	87	$536	$846	$642	76%	—	$305 – $4.1k
12	Caresource fee schedule · outpatient · +12 other terms	50	$529	$505	$94	19%	—	$289 – $769
13	Clover fee schedule · outpatient · +4 other terms	41	$546	$547	$13	2%	—	$529 – $620
14	Superior Healthplan fee schedule · outpatient · +3 other terms	40	$537	$537	$3	0%	—	$501 – $537
15	Ambetter facility · fee schedule · outpatient · +9 other terms	38	$896	$991	$239	24%	—	$361 – $1.3k
16	MultiPlan fee schedule · outpatient · +15 other terms	38	$1.8k	$1.7k	$736	43%	—	$478 – $3.8k
17	Oscar fee schedule · outpatient · +9 other terms	36	$556	$618	$177	29%	—	$501 – $1.1k
18	Optum fee schedule · outpatient · +12 other terms	29	$490	$595	$270	45%	—	$255 – $1.3k
19	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$732	$541	$212	39%	—	$292 – $791
20	Medica facility · fee schedule · outpatient · +12 other terms	26	$509	$468	$115	25%	—	$166 – $825
21	Medicare fee schedule · outpatient · +3 other terms	23	$446	$457	$24	5%	—	$446 – $521
22	First Health fee schedule · outpatient · +10 other terms	20	$1.9k	$1.6k	$644	40%	—	$469 – $3.7k
23	Amerihealth Caritas fee schedule · outpatient · +6 other terms	18	$635	$612	$50	8%	—	$474 – $635
24	Bcbs Tx fee schedule · outpatient · +2 other terms	18	$501	$501	—	—	—	$501 – $501
25	Regence facility · fee schedule · outpatient · +8 other terms	17	$483	$488	$17	3%	—	$462 – $531

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