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TLSO, Initial Orthosis Only

Montana rates for HCPCS L1200

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

Rates data updated October 2026.

How much does TLSO, Initial Orthosis Only cost?

$2,138

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $2,138 for this service. The price depends on where it is billed: about $2,089 from a physician practice, and about $2,344 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2,089$891 to $2,239
FacilityA hospital or hospital-owned outpatient department$2,344$2,138 to $123,027

How much rates vary

Facilitymedian $2,344 · 10th to 90th $1,622 to $125,893Professionalmedian $2,089 · 10th to 90th $79 to $2,399
$100$1K$10K$100Kfacility $2,344professional $2,089

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$1,122.02
Typical High
$2,041.74
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$2,238.72
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,621.81
Median
$2,691.53
Typical High
$125,892.54
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$131,825.67
Providence
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$2,238.72
Typical High
$2,238.72
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,659.59
Typical High
$2,238.72
United
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$870.96
Typical High
$1,479.11

Where Montana sits

The same service costs 4.0 times more in Hawaii than in Pennsylvania. 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.

Montana· 3rd of 51

$2,138

HI $3,467PA $871

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.