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TLSO, Initial Orthosis Only

Missouri 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?

$1,148

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,148 from a physician practice, and about $1,660 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 7 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$1,148$1,047 to $1,445
FacilityA hospital or hospital-owned outpatient department$1,660$1,175 to $2,089

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,072 to $3,548Professionalmedian $1,148 · 10th to 90th $871 to $2,455
$1K$2K$5K$10Kfacility $1,660professional $1,148

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
$1,071.52
Median
$1,071.52
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$10,232.93
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$7,244.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,148.15
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,659.59
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,659.59
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,778.28

Where Missouri 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.

Missouri· 28th of 51

$1,148

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.