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TLSO, Initial Orthosis Only

Washington, DC rates for HCPCS L1200

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

Rates data updated October 2026.

How much does TLSO, Initial Orthosis Only cost?

$955

Typical negotiated rate. In Washington, DC, October 2026.

Insurers have agreed to pay about $955 for this service. Most negotiated rates run $794 to $1,230.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $724 · 10th to 90th $724 to $1,445Professionalmedian $955 · 10th to 90th $724 to $1,698
$1K$2Kfacility $724professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$1,202.26
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$363.08
Median
$363.08
Typical High
$602.56
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$144.54
Median
$144.54
Typical High
$239.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$107.15
Median
$107.15
Typical High
$181.97
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$72.44
Median
$72.44
Typical High
$120.23
CareFirst
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,513.56
Typical High
$3,467.37
United
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$1,047.13
Typical High
$1,905.46

Where Washington, DC sits

The same service costs 4.0 times more in Hawaii than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 44th of 51

$955

HI $3,467PA $871

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.