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TLSO, Initial Orthosis Only

Maryland rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $1,023 · 10th–90th $661$1,8200%10%10th90th$1,023Professionalmedian $871 · 10th–90th $724$1,5140%20%10th90th$871$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$724.44
Median
$776.25
Typical High
$1,445.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,819.70
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$891.25
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$1,412.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,513.56