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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

Hawaii 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?

$166

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $166 for this service. Most negotiated rates run $66.07 to $166.

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 $56 · 10th to 90th $44 to $129Professionalmedian $166 · 10th to 90th $30 to $174
$50.0$100.0$200.0facility $56professional $166

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
$30.20
Median
$30.20
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$151.36
Typical High
$204.17
HMSA
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$173.78
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$50.12
Typical High
$56.23
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$72.44
Typical High
$204.17

Where Hawaii 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.

Hawaii $166 · 1st 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.