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TLSO, Initial Orthosis Only

Nevada rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $813 · 10th–90th $813$2,3990%50%90th$813Professionalmedian $933 · 10th–90th $724$3,2360%20%10th90th$933$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,511.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$2,691.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,548.82
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,398.83
Typical High
$4,073.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,258.93
Typical High
$2,630.27