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TLSO, Initial Orthosis Only

Nationwide rates for HCPCS L1200

Thoracic-lumbar-sacral orthosis (TLSO), inclusive of furnishing initial orthosis only

Rates data updated July 2026.

Facilitymedian $1,549 · 10th–90th $832$4,6770%10%10th90th$1,549Professionalmedian $1,148 · 10th–90th $813$2,2390%10%20%10th90th$1,148$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,122.02
Typical High
$4,786.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$1,737.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,258.93
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,819.70