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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.

How much does TLSO, Initial Orthosis Only cost?

$1,820

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $2,570 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 9 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$1,820$977 to $1,820
FacilityA hospital or hospital-owned outpatient department$2,570$1,995 to $3,162

How much rates vary

Facilitymedian $2,570 · 10th to 90th $912 to $3,802Professionalmedian $1,820 · 10th to 90th $912 to $2,754
$100$200$500$1K$2K$5K$10Kfacility $2,570professional $1,820

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
$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

Where Massachusetts 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.

Massachusetts· 9th of 51

$1,820

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.