HCPCS L0492

Tlso, sagittal-coronal control, modular segmented spinal system, three rigid plastic shells, posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine, anterior extends from the symphysis pubis to the xiphoid, soft liner, restricts gross trunk motion in the sagittal and coronal planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment

Current code23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L0492 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$522 – $4,05116 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$725 – $2,5229 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$969 – $1,2122 plans$742$1,060
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$914 – $1,7025 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$522 – $4,4477 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$508 – $2,61817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$508 – $2,61817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$589 – $2,61812 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$580 – $2,51610 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$556 – $1,66710 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$938 – $2,0109 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,024 – $2,2665 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$727 – $1,4067 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$515 – $1,9788 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$909 – $2,2237 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$909 – $1,3457 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$909 – $2,1649 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$909 – $2,1649 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$508 – $2,61817 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$969 – $1,9005 plans$936$1,338
Virginia Mason Medical CenterSeattle$580 – $2,1077 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,5291 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$522 – $1,57213 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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
$606 (fee)