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Lumbar or Lumbar Rib Pad for CTLSO or Scoliosis Orthosis

Vermont 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?

$48.98

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $48.98 for this service. Most negotiated rates run $42.66 to $54.95.

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 $55 · 10th to 90th $33 to $66Professionalmedian $49 · 10th to 90th $43 to $69
$50.0$100.0$200.0facility $55professional $49

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
$42.66
Median
$42.66
Typical High
$54.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$66.07
Typical High
$66.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$66.07
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$47.86
Typical High
$58.88
United
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$66.07
Typical High
$177.83

Where Vermont 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.

Vermont $48.98 · 42nd 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.