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TLSO, Initial Orthosis Only

Wyoming rates for HCPCS L1200

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

Rates data updated July 2026.

Facilitymedian $977 · 10th–90th $871$2,0890%20%10th90th$977Professionalmedian $1,175 · 10th–90th $871$2,0890%20%10th90th$1,175$1.0K$2.0K

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
$933.25
Median
$1,174.90
Typical High
$1,862.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$891.25
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$870.96
Typical High
$1,348.96