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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 July 2026.

Facilitymedian $1,023 · 10th–90th $832$3,7150%20%10th90th$1,023Professionalmedian $1,023 · 10th–90th $813$1,6980%20%40%10th90th$1,023$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$954.99
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,698.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$1,778.28
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,202.26
Typical High
$1,995.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,023.29
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$954.99
Typical High
$1,318.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$1,995.26