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TLSO, Initial Orthosis Only

Nebraska 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?

$933

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $933 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$933$933 to $1,072
FacilityA hospital or hospital-owned outpatient department$2,089$1,318 to $2,291

How much rates vary

Facilitymedian $2,089 · 10th to 90th $891 to $9,772Professionalmedian $933 · 10th to 90th $692 to $1,698
$1.0K$2.0K$5.0K$10.0Kfacility $2,089professional $933

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
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,318.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,511.89
Typical High
$4,265.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,238.72
Typical High
$9,772.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$2,089.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$5,495.41
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$5,128.61
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,737.80
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,584.89

Where Nebraska 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.

Nebraska $933 · 46th 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.