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TLSO, Initial Orthosis Only

Florida 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?

$871

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,995 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$871$813 to $1,023
FacilityA hospital or hospital-owned outpatient department$1,995$1,175 to $3,715

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,175 to $3,715Professionalmedian $871 · 10th to 90th $724 to $1,995
$1K$2Kfacility $1,995professional $871

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$891.25
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$407.38
Median
$446.68
Typical High
$562.34
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$162.18
Median
$177.83
Typical High
$223.87
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$123.03
Median
$134.90
Typical High
$165.96
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$81.28
Median
$89.13
Typical High
$112.20
Ambetter
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
AvMed
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
AvMed
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,995.26
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$794.33
Typical High
$831.76
United
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$977.24
Typical High
$1,202.26
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$1,995.26

Where Florida 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.

Florida· 50th of 51

$871

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.