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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

Montana 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?

$85.11

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $75.86 from a physician practice, and about $85.11 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$75.86$45.71 to $93.33
FacilityA hospital or hospital-owned outpatient department$85.11$72.44 to $93.33

How much rates vary

Facilitymedian $85 · 10th to 90th $60 to $117Professionalmedian $76 · 10th to 90th $35 to $166
$50.0$100.0$200.0$500.0facility $85professional $76

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
Professional
Modifier
Global
Typical Low
$28.18
Median
$56.23
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$93.33
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$165.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$85.11
Typical High
$165.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$87.10
Typical High
$120.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$50.12
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$43.65
Typical High
$67.61

Where Montana 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.

Montana $85.11 · 7th 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.