Code: L0464

Description:
Description: Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustment
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
BRACE ORTH SHLDR MED17IN
BRACE ORTH SHLDR LG 19IN
BRACE ORTH SHLDR XL 19IN
BRACE ORTH 2XL 19IN
BRACE HPR XTN CERV CEO
BRACE ORTHO SM 17IN
BRACE TLCO ORTH 4MOD
Yb Tlso 4 Shell
HC PFAB TLSO 4 PLAST SHELLS
Related codes:
Code: L0460
DONJOY DUAL TLSO M
Code: L0462
BRACE LINER3 SHL STRNL
Code: L0466
Description: Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures
Code: L0467
Description: Tlso, sagittal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, restricts gross trunk motion in sagittal plane, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Code: L0468
Description: Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal, and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
HCPCS Category: Orthotic/prosthetic procedures
Code: L0469
Description: Tlso, sagittal-coronal control, rigid posterior frame and flexible soft anterior apron with straps, closures and padding, extends from sacrococcygeal junction over scapulae, lateral strength provided by pelvic, thoracic, and lateral frame pieces, restricts gross trunk motion in sagittal and coronal planes, produces intracavitary pressure to reduce load on intervertebral disks, prefabricated, off-the-shelf
HCPCS Category: Orthotic/prosthetic procedures
Massachusetts
Hospital Address Code Price Last Updated
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs L0464 $1,365 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem L0464 $1,365 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain L0464 $1,365 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls L0464 $1,365 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge L0464 $1,370 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston L0464 $1,370 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich L0464 $1,370 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton L0464 $1,370 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket L0464 $1,370 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont L0464 $1,370 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston L0464 $1,370 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston L0464 $1,370 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Braintree 250 Pond St, Braintree L0464 $1,726 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of Western Massachusetts 222 State St, Ludlow L0464 $2,110 [source] 4 years ago
Encompass Health Rehabilitation Hospital Of New England 2 Rehabilitation Way, Woburn L0464 $2,298 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown L0464 $2,840 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.