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TLSO, Initial Orthosis Only

Rhode Island rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $3,467 · 10th–90th $1,175$4,8980%10%20%10th90th$3,467Professionalmedian $1,175 · 10th–90th $912$1,3800%20%10th90th$1,175$1.0K$2.0K$5.0K$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,023.29
Typical High
$1,230.27
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$4,168.69
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,380.38
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,202.26
Typical High
$1,202.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,737.80