HCPCS L0455
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, off-the-shelf
Current code25 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 | $101 – $848 | — | — |
| Deaconess Medical Center | $140 – $808 | — | — |
| Harborview Medical Center | $190 – $237 | — | — |
| Island Hospital | $587 – $661 | — | — |
| Kadlec Regional Medical Center | $201 – $627 | — | — |
| Mary Bridge Children's Hospital | $101 – $1,425 | — | — |
| MultiCare Auburn Medical Center | $98.14 – $839 | — | — |
| MultiCare Covington Medical Center | $98.14 – $839 | — | — |
| MultiCare Good Samaritan Hospital | $155 – $839 | — | — |
| MultiCare Valley Hospital | $112 – $806 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $131 – $1,145 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $201 – $644 | — | — |
| Providence Centralia Hospital | $201 – $787 | — | — |
| Providence Regional Medical Center Everett | $142 – $746 | — | — |
| Providence St Peter Hospital | $101 – $1,051 | — | — |
| Swedish Edmonds Hospital | $178 – $1,526 | — | — |
| Swedish Issaquah | $178 – $882 | — | — |
| Swedish Medical Center | $178 – $882 | — | — |
| Swedish Medical Center / Cherry Hill | $178 – $1,055 | — | — |
| Tacoma General Allenmore Hospital | $98.14 – $839 | — | — |
| University of Washington Medical Ctr | $190 – $372 | — | — |
| Virginia Mason Medical Center | $112 – $537 | — | — |
| Wellfound Behavioral Health Hospital | $299 | — | — |
| Yakima Valley Memorial | $101 – $1,017 | — | — |
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
- $119 (fee)