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TLSO, Initial Orthosis Only

Maine 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?

$1,259

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $2,188 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 6 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$1,175$1,072 to $1,820
FacilityA hospital or hospital-owned outpatient department$2,188$1,479 to $2,455

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,122 to $2,630Professionalmedian $1,175 · 10th to 90th $912 to $1,820
$1.0K$2.0K$5.0K$10.0Kfacility $2,188professional $1,175

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,071.52
Typical High
$1,258.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,454.71
Typical High
$2,818.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$2,187.76
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,174.90
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$1,096.48
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,819.70
Typical High
$1,819.70

Where Maine sits

The same service costs 4.8 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $1,259 · 16th of 51
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.