go back

TLSO, Initial Orthosis Only

Rhode Island 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?

$1,230

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,230 from a physician practice, and about $3,890 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,230$1,047 to $1,380
FacilityA hospital or hospital-owned outpatient department$3,890$3,020 to $4,467

How much rates vary

Facilitymedian $3,890 · 10th to 90th $2,399 to $4,898Professionalmedian $1,230 · 10th to 90th $871 to $1,738
$1K$2K$5Kfacility $3,890professional $1,230

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
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$575.44
Median
$616.60
Typical High
$616.60
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$229.09
Median
$251.19
Typical High
$251.19
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$173.78
Median
$186.21
Typical High
$186.21
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$114.82
Median
$123.03
Typical High
$123.03
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$4,168.69
Typical High
$4,897.79
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,380.38
Typical High
$1,905.46
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
United
Setting
Facility
Modifier
None
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,737.80

Where Rhode Island 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.

Rhode Island· 24th of 51

$1,230

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.