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TLSO, Initial Orthosis Only

Tennessee rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $1,549 · 10th–90th $871$11,4820%20%10th90th$1,549Professionalmedian $933 · 10th–90th $871$1,6600%50%10th90th$933$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
Facility
Modifier
Global
Typical Low
$870.96
Median
$954.99
Typical High
$1,548.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$933.25
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$11,481.54
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,023.29
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,318.26