# HCPCS L0450: Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support

Medicare HCPCS L0450 pays $136.07 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $63.92 in Washington to $252.57 in Hawaii, a 295% spread.

Web page: https://www.med-reveal.com/rates/L0450-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $136.07 |
| National facility | $136.07 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $252.57 | $252.57 |
| Alaska | $242.76 | $242.76 |
| Puerto Rico | $231.44 | $231.44 |
| Virgin Islands | $218.46 | $218.46 |
| Alabama | $145.10 | $145.10 |
| Arkansas | $145.10 | $145.10 |
| Connecticut | $145.10 | $145.10 |
| Florida | $145.10 | $145.10 |
| Georgia | $145.10 | $145.10 |
| Kentucky | $145.10 | $145.10 |
| Louisiana | $145.10 | $145.10 |
| Maine | $145.10 | $145.10 |
| Massachusetts | $145.10 | $145.10 |
| Mississippi | $145.10 | $145.10 |
| New Hampshire | $145.10 | $145.10 |
| North Carolina | $145.10 | $145.10 |
| Rhode Island | $145.10 | $145.10 |
| South Carolina | $145.10 | $145.10 |
| Tennessee | $145.10 | $145.10 |
| Vermont | $145.10 | $145.10 |
| Virginia | $145.10 | $145.10 |
| West Virginia | $145.10 | $145.10 |
| Iowa | $142.26 | $142.26 |
| Kansas | $142.26 | $142.26 |
| Minnesota | $142.26 | $142.26 |
| Missouri | $142.26 | $142.26 |
| Nebraska | $142.26 | $142.26 |
| North Dakota | $142.26 | $142.26 |
| South Dakota | $142.26 | $142.26 |
| Arizona | $136.83 | $136.83 |
| New Mexico | $136.83 | $136.83 |
| Oklahoma | $136.83 | $136.83 |
| Texas | $136.83 | $136.83 |
| Delaware | $127.31 | $127.31 |
| District of Columbia | $127.31 | $127.31 |
| Maryland | $127.31 | $127.31 |
| New Jersey | $127.31 | $127.31 |
| New York | $127.31 | $127.31 |
| Pennsylvania | $127.31 | $127.31 |
| Illinois | $123.17 | $123.17 |
| Indiana | $123.17 | $123.17 |
| Michigan | $123.17 | $123.17 |
| Ohio | $123.17 | $123.17 |
| Wisconsin | $123.17 | $123.17 |
| Colorado | $95.25 | $95.25 |
| Idaho | $95.25 | $95.25 |
| Montana | $95.25 | $95.25 |
| Utah | $95.25 | $95.25 |
| Wyoming | $95.25 | $95.25 |
| California | $63.92 | $63.92 |
| Nevada | $63.92 | $63.92 |
| Oregon | $63.92 | $63.92 |
| Washington | $63.92 | $63.92 |

## Related codes

- L0112: Cranial cervical orthosis, congenital torticollis type — https://www.med-reveal.com/rates/L0112-hcpcs-fee-schedule
- L0140: Cervical, semi-rigid, thermoplastic collar, molded to patient — https://www.med-reveal.com/rates/L0140-hcpcs-fee-schedule
- L0500: Thoracic-lumbar-sacral orthosis (TLSO), rigid, custom fitted — https://www.med-reveal.com/rates/L0500-hcpcs-fee-schedule
- L0621: Sacroiliac orthosis, flexible, provides pelvic-sacral support — https://www.med-reveal.com/rates/L0621-hcpcs-fee-schedule
- L0630: Lumbar-sacral orthosis, sagittal control, rigid posterior panel — https://www.med-reveal.com/rates/L0630-hcpcs-fee-schedule
- L0810: Addition to halo procedure, cervical collar with attachment — https://www.med-reveal.com/rates/L0810-hcpcs-fee-schedule
- L1000: Cervical-thoracic-lumbar-sacral orthosis, anterior-posterior-lateral control — https://www.med-reveal.com/rates/L1000-hcpcs-fee-schedule
- L1685: Hip orthosis, abduction control of hip joints, dynamic — https://www.med-reveal.com/rates/L1685-hcpcs-fee-schedule

Commercial negotiated rates for L0450 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules