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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

Rhode Island 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?

$45.71

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $45.71 from a physician practice, and about $148 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 4 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$45.71$38.90 to $52.48
FacilityA hospital or hospital-owned outpatient department$148$66.07 to $182

How much rates vary

Facilitymedian $148 · 10th to 90th $51 to $204Professionalmedian $46 · 10th to 90th $38 to $63
$50.0$100.0$200.0$500.0facility $148professional $46

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
$38.02
Median
$42.66
Typical High
$61.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$173.78
Typical High
$204.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$45.71
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$53.70
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$48.98
Typical High
$72.44

Where Rhode Island 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.

Rhode Island $45.71 · 49th 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.