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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

Georgia rates for HCPCS L1040

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

Rates data updated July 2026.

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

$64.57

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $64.57 for this service. The price depends on where it is billed: about $64.57 from a physician practice, and about $117 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 6 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$64.57$54.95 to $95.50
FacilityA hospital or hospital-owned outpatient department$117$54.95 to $166

How much rates vary

Facilitymedian $117 · 10th to 90th $49 to $427Professionalmedian $65 · 10th to 90th $45 to $112
$0.1$1.0$10.0$100.0$1.0Kfacility $117professional $65

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$54.95
Typical High
$100.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$275.42
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$95.50
Typical High
$144.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
CareSource
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$141.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$169.82
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$43.65
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$54.95
Typical High
$109.65

Where Georgia sits

The same service costs 4.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Georgia $64.57 · 14th of 51
HI $166DC $38.02

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.