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TLSO, Initial Orthosis Only

New Mexico 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?

$1,514

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $1,514 for this service. The price depends on where it is billed: about $1,514 from a physician practice, and about $1,175 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$1,514$1,000 to $1,950
FacilityA hospital or hospital-owned outpatient department$1,175$562 to $1,445

How much rates vary

Facilitymedian $1,175 · 10th to 90th $562 to $1,549Professionalmedian $1,514 · 10th to 90th $871 to $2,042
$1K$2Kfacility $1,175professional $1,514

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,513.56
Typical High
$1,513.56
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$2,041.74
Typical High
$3,019.95
Providence
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$1,174.90
Typical High
$1,548.82
Providence
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$870.96
Typical High
$2,454.71
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$870.96
Typical High
$1,318.26

Where New Mexico 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.

New Mexico· 18th of 51

$1,514

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.