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TLSO, Initial Orthosis Only

Kentucky rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $1,047 · 10th–90th $794$2,8840%20%40%10th90th$1,047Professionalmedian $1,023 · 10th–90th $871$1,2300%50%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
$1,000.00
Median
$1,000.00
Typical High
$1,047.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,047.13
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$2,089.30
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,174.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,630.27
Typical High
$3,388.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$3,162.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,884.03
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,548.82
Typical High
$10,232.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$1,698.24
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,174.90
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$977.24
Typical High
$1,348.96