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.
Original text from hospital filings
TLSO 2Mod symphis-xipho pre
Ottawa, KS
See all hospitals reporting HCPCS L0458 →Price type
Adventhealth Ottawa’s median price of $1.4k is 22% above the median hospital's median price ($1.1k), higher than 79% of the 868 hospitals reporting HCPCS L0458. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 3 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue choice ppo fee schedule · outpatient | $909 | $909 | — | — | — | $909 – $909 |
| 2 | Aetna medicare managed care - hmo/ppo fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Oscar individual plan hmo fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Apr 1, 2026
See Thoracolumbosacral orthosis (TLSO) back brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.