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TLSO, Initial Orthosis Only

Arkansas rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $380,189 · 10th–90th $1,122$891,2510%10%20%10th90th$380,189Professionalmedian $977 · 10th–90th $589$1,2590%20%10th90th$977$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
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,096.48
Typical High
$1,258.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$870.96
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$1,348.96