HCPCS L0480

Tlso, triplanar control, one piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts gross trunk motion in sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated

Current code23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L0480 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$975$2,438
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$975$2,438
Harborview Medical CenterSeattleFile dated 2026-04-01—$2,288 – $2,343$3,269 – $3,347
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$975$2,438
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$975$2,438
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$975$2,438
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$975$2,438
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$975$2,438
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$975$2,438
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,956$4,223
Yakima Valley MemorialYakimaFile dated 2026-08-27—$975$2,438

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$1,913 (fee)