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Virginia rates for HCPCS L1200

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

Facilitymedian $1,820 · 10th–90th $871$2,2390%20%40%10th90th$1,820Professionalmedian $1,072 · 10th–90th $776$1,7780%20%10th90th$1,072$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $870.96 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $933.25 / $1,698.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,905.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $2,398.83
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,819.70 / $2,511.89
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,174.90 / $1,778.28
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,230.27 / $2,398.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,047.13 / $2,238.72
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,479.11 / $3,890.45
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,479.11 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $933.25 / $1,819.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $870.96 / $1,445.44