Tlso, triplanar control, two 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, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated cost in Ohio
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Cash from
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Cash range · 0 distinct prices
$1,219
Insurer rates from
17
Hospitals
Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jun 2026; each row shows its own date.
Prices by hospital
| Hospital | City | Cash | Insurer from | Data date |
|---|---|---|---|---|
| Metrohealth System | Cleveland | — | $1,219 | Apr 2026198 days old |
| Kettering Medical Center 2 locations · one published price | Miamisburg, Dayton | — | $2,239 | Apr 2026198 days old |
| Riverside Methodist Hospital | Columbus | — | $2,239 | Apr 2026198 days old |
| Marion General Hospital | Marion | — | $2,239 | Apr 2026198 days old |
| Bethesda Hospital Inc. | Lebanon | — | $2,239 | Apr 2026198 days old |
| Greene Memorial Hospital Inc | Xenia | — | $2,239 | Apr 2026198 days old |
| McCullough-Hyde Memorial Hospital, Inc. | Oxford | — | $2,239 | Apr 2026198 days old |
| Beavercreek Medical Center | Dayton | — | $2,239 | Apr 2026198 days old |
| Berger Hospital | Circleville | — | $2,239 | Apr 2026198 days old |
| Fort Hamilton Hospital | Hamilton | — | $2,239 | Apr 2026198 days old |
| The Good Samaritan Hospital of Cincinnati, OH | Cincinnati | — | $2,239 | Apr 2026198 days old |
| Dayton Osteopathic Hospital | Dayton | — | $2,239 | Apr 2026198 days old |
| Clinton Memorial Hospital | Wilmington | — | $2,239 | Apr 2026198 days old |
| Fairview Hospital | Cleveland | — | $2,347 | Jun 2026123 days old |
| LUTHERAN HOSPITAL | Cleveland | — | $2,748 | Jun 2026123 days old |
| The Cleveland Clinic Foundation | Brunswick | — | $5,874 | Jun 2026122 days old |
Where this procedure name comes from
This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.
What the hospitals published for this code, in their own words:
- Beavercreek Medical CenterTLSO rigid plastic cust fab
- Berger HospitalTLSO rigid plastic cust fab
- Bethesda Hospital Inc.TLSO rigid plastic cust fab
- Clinton Memorial HospitalTLSO rigid plastic cust fab
- Dayton Osteopathic HospitalTLSO rigid plastic cust fab
- Fairview HospitalTlso rigid plastic cust fab
- Fort Hamilton HospitalTLSO rigid plastic cust fab
- Greene Memorial Hospital IncTLSO rigid plastic cust fab
- HEART HOSP OF AUSTINTlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul
- HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKTlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapul
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