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Lateral Thoracic Extension for TLSO (Low Profile)

Alaska rates for HCPCS L1210

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

Rates data updated July 2026.

How much does Lateral Thoracic Extension for TLSO (Low Profile) cost?

$219

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $219 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $191 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 6 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$219$170 to $427
FacilityA hospital or hospital-owned outpatient department$191$95.50 to $398

How much rates vary

Facilitymedian $191 · 10th to 90th $95 to $427Professionalmedian $219 · 10th to 90th $145 to $603
$100$200$500$1Kfacility $191professional $219

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
Professional
Modifier
Global
Typical Low
$144.54
Median
$177.83
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$512.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$288.40
Typical High
$426.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$912.01
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$446.68
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$426.58
Typical High
$446.68
Providence
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$190.55
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$165.96
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$223.87
Typical High
$1,096.48

Where Alaska sits

The same service costs 4.0 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 13th of 51

$219

HI $479DC $120

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.