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TLSO, Initial Orthosis Only

Massachusetts rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $2,570 · 10th–90th $912$3,8020%20%10th90th$2,570Professionalmedian $1,820 · 10th–90th $912$2,7540%20%10th90th$1,820$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$2,884.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$11,481.54
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,621.81
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,754.23
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,202.26
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,412.54
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,754.23
Health New England
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$11,481.54
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,621.81
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,122.02
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,698.24
Typical High
$1,819.70