go back

TLSO, Initial Orthosis Only

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,738 from a physician practice, and about $2,089 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$1,738$933 to $2,089
FacilityA hospital or hospital-owned outpatient department$2,089$1,622 to $2,239

How much rates vary

Facilitymedian $2,089 · 10th to 90th $1,288 to $2,570Professionalmedian $1,738 · 10th to 90th $562 to $4,074
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,089professional $1,738

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
Professional
Modifier
Global
Typical Low
$562.34
Median
$1,122.02
Typical High
$10,232.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$2,238.72
Typical High
$2,238.72
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$4,073.80
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,089.30
Typical High
$4,073.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,949.84
Typical High
$2,570.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,659.59
Typical High
$2,238.72
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,148.15
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$870.96
Typical High
$1,348.96

Where Montana 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.

Montana $1,820 · 10th 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.