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Lumbar Bolster Pad for CTLSO or Scoliosis Orthosis

Hawaii rates for HCPCS L1030

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO) or scoliosis orthosis, lumbar bolster pad

Rates data updated July 2026.

How much does Lumbar Bolster Pad for CTLSO or Scoliosis Orthosis cost?

$83.18

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $52.48 to $83.18.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $46 · 10th to 90th $35 to $65Professionalmedian $83 · 10th to 90th $25 to $87
$50$100facility $46professional $83

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
$24.55
Median
$24.55
Typical High
$48.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$102.33
HMSA
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$40.74
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$56.23
Typical High
$100.00

Where Hawaii sits

The same service costs 3.2 times more in Minnesota 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.

Hawaii· 3rd of 51

$83.18

MN $93.33DC $29.51

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.