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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.

How much does TLSO, Initial Orthosis Only cost?

$1,202

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $3,467 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$912 to $1,230
FacilityA hospital or hospital-owned outpatient department$3,467$1,202 to $4,365

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,175 to $4,898Professionalmedian $1,175 · 10th to 90th $912 to $1,380
$1K$2K$5K$10Kfacility $3,467professional $1,175

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
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

Where Rhode Island sits

The same service costs 4.8 times more in Hawaii than in Washington, DC. 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· 20th of 51

$1,202

HI $3,467DC $724

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.