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TLSO, Initial Orthosis Only

Iowa rates for HCPCS L1200

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

Rates data updated July 2026.

How much does TLSO, Initial Orthosis Only cost?

$1,318

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $1,549 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,318$1,023 to $1,820
FacilityA hospital or hospital-owned outpatient department$1,549$1,288 to $2,818

How much rates vary

Facilitymedian $1,549 · 10th to 90th $933 to $5,012Professionalmedian $1,318 · 10th to 90th $724 to $2,512
$1K$2K$5K$10Kfacility $1,549professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,513.56
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,288.25
Typical High
$1,819.70
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
$1,380.38
Median
$2,511.89
Typical High
$3,090.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$2,398.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,454.71
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,398.83
Typical High
$2,754.23
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,388.44
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$2,187.76
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$2,041.74

Where Iowa sits

The same service costs 4.8 times more in Hawaii than in Washington, DC. 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.

Iowa· 15th of 51

$1,318

HI $3,467DC $724

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.