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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $116 – $128 | — | — |
| Deaconess Medical Center | $116 – $128 | — | — |
| Harborview Medical Center | $119 – $131 | — | — |
| Island Hospital | $367 – $389 | — | — |
| Kadlec Regional Medical Center | $119 – $142 | — | — |
| Mary Bridge Children's Hospital | $116 – $128 | — | — |
| MultiCare Auburn Medical Center | $116 – $128 | — | — |
| MultiCare Covington Medical Center | $116 – $128 | — | — |
| MultiCare Good Samaritan Hospital | $116 – $128 | — | — |
| MultiCare Valley Hospital | $120 – $128 | — | — |
| Olympic Medical Center | $385 – $495 | — | — |
| Overlake Hospital Medical Center & Clinics | $119 – $123 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $119 – $142 | — | — |
| Providence Centralia Hospital | $119 – $190 | — | — |
| Providence Regional Medical Center Everett | $119 – $131 | — | — |
| Providence St Peter Hospital | $119 – $190 | — | — |
| Swedish Edmonds Hospital | $119 – $142 | — | — |
| Swedish Issaquah | $119 – $142 | — | — |
| Swedish Medical Center | $119 – $142 | — | — |
| Swedish Medical Center / Cherry Hill | $119 – $142 | — | — |
| Tacoma General Allenmore Hospital | $116 – $128 | — | — |
| University of Washington Medical Ctr | $119 – $131 | — | — |
| Virginia Mason Medical Center | $80.87 – $121 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $116 – $130 | — | — |
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)