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TLSO, Initial Orthosis Only

Louisiana rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $1,660 · 10th–90th $1,047$3,6310%20%10th90th$1,660Professionalmedian $1,096 · 10th–90th $813$1,5490%20%10th90th$1,096$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
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,584.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,019.95
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
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
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,659.59
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$954.99
Typical High
$1,318.26