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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

Virginia 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?

$52.48

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $52.48 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $95.50 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 8 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$52.48$46.77 to $63.10
FacilityA hospital or hospital-owned outpatient department$95.50$63.10 to $95.50

How much rates vary

Facilitymedian $95 · 10th to 90th $47 to $120Professionalmedian $52 · 10th to 90th $38 to $93
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $95professional $52

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
$38.02
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$46.77
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$109.65
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$58.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$95.50
Typical High
$134.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$63.10
Typical High
$93.33
Medcost
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$61.66
Typical High
$120.23
Medcost
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$52.48
Typical High
$120.23
Sentara
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$275.42
Sentara
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$29.51
Median
$46.77
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$46.77
Typical High
$75.86

Where Virginia 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.

Virginia $52.48 · 32nd 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.