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TLSO, Initial Orthosis Only

Delaware rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $1,175 · 10th–90th $1$1,4790%50%10th90th$1,175Professionalmedian $813 · 10th–90th $724$8,9130%20%40%10th90th$813$2.0$10.0$50.0$200.0$1.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1,148.15
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$1,348.96