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TLSO, Initial Orthosis Only

Oregon rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $2,138 · 10th–90th $1,778$2,3440%50%10th90th$2,138Professionalmedian $1,738 · 10th–90th $832$2,6300%10%20%10th90th$1,738$2.0$10.0$50.0$200.0$1.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,071.52
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$3,890.45
Typical High
$4,897.79
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$2,398.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,905.46
Typical High
$2,630.27
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,290.87
Typical High
$2,344.23
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,344.23
Typical High
$2,344.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,862.09
Typical High
$2,630.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$2,041.74
Typical High
$2,454.71
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,454.71
Typical High
$9,332.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,630.27
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$977.24
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,698.24