HCPCS L0454
Tlso flexible, provides trunk support, extends from sacrococcygeal junction to above t-9 vertebra, restricts gross trunk motion in the sagittal plane, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Current code23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $414 – $440 | $207 | $518 |
| Deaconess Medical Center | $368 – $378 | $207 | $518 |
| Harborview Medical Center | — | $510 | $728 |
| Mary Bridge Children's Hospital | $339 – $414 | $207 | $518 |
| MultiCare Auburn Medical Center | $306 – $378 | $207 | $518 |
| MultiCare Covington Medical Center | $306 – $378 | $207 | $518 |
| MultiCare Good Samaritan Hospital | $306 – $378 | $207 | $518 |
| MultiCare Valley Hospital | $373 | $207 | $518 |
| Tacoma General Allenmore Hospital | $306 – $378 | $207 | $518 |
| University of Washington Medical Ctr | — | $676 | $966 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $416 (fee)