HCPCS L0472
Tlso, triplanar control, hyperextension, rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal), posterior and lateral pads with straps and closures, limits spinal flexion, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes fitting and shaping the frame, prefabricated, includes fitting and adjustment
Current code28 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $283 | $707 |
| Deaconess Medical Center | — | $283 | $707 |
| Harborview Medical Center | — | $673 – $679 | $961 – $971 |
| Kadlec Regional Medical Center | — | $1,093 | $1,562 |
| Mary Bridge Children's Hospital | — | $283 | $707 |
| MultiCare Auburn Medical Center | — | $283 | $707 |
| MultiCare Covington Medical Center | — | $283 | $707 |
| MultiCare Good Samaritan Hospital | — | $283 | $707 |
| MultiCare Valley Hospital | — | $283 | $707 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,047 – $1,099 | $1,496 – $1,571 |
| Providence Centralia Hospital | — | $1,692 | $3,254 |
| Providence Holy Family Hospital | — | $1,099 | $1,571 |
| Providence Mount Carmel Hospital | — | $1,047 | $1,496 |
| Providence Regional Medical Center Everett | — | $1,846 | $3,550 |
| Providence St Joseph Hospital | — | $1,047 | $1,496 |
| Providence St Mary Medical Center | — | $1,142 | $1,631 |
| Providence St Peter Hospital | — | $1,692 | $3,254 |
| Seattle Children's Hospital | $487 | $1,931 | $1,931 |
| Swedish Edmonds Hospital | — | $1,119 | $2,332 |
| Swedish Issaquah | — | $736 – $1,119 | $1,533 – $2,332 |
| Swedish Medical Center | — | $736 – $1,119 | $1,533 – $2,332 |
| Swedish Medical Center / Cherry Hill | — | $736 – $1,119 | $1,533 – $2,332 |
| Tacoma General Allenmore Hospital | — | $283 | $707 |
| University of Washington Medical Ctr | — | $903 – $919 | $1,290 – $1,313 |
| Yakima Valley Memorial | — | $283 | $707 |
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
- $555 (fee)