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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

Pennsylvania 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?

$47.86

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $47.86 for this service. The price depends on where it is billed: about $47.86 from a physician practice, and about $145 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 9 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$47.86$42.66 to $57.54
FacilityA hospital or hospital-owned outpatient department$145$43.65 to $295

How much rates vary

Facilitymedian $145 · 10th to 90th $39 to $501Professionalmedian $48 · 10th to 90th $38 to $93
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $145professional $48

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
$38.90
Median
$38.90
Typical High
$147.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$74.13
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
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
$66.07
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$169.82
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$63.10
Typical High
$95.50
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$147.91
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$44.67
Typical High
$74.13
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$338.84
Typical High
$549.54
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$89.13
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$46.77
Typical High
$97.72

Where Pennsylvania 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.

Pennsylvania $47.86 · 44th 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.