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Lateral Thoracic Extension for TLSO (Low Profile)

Nationwide rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Rates data updated July 2026.

Facilitymedian $234 · 10th–90th $135$7760%20%10th90th$234Professionalmedian $178 · 10th–90th $129$3390%20%10th90th$178$0.2$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$257.04
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$302.00