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Lateral Thoracic Extension for TLSO (Low Profile)

Alabama rates for HCPCS L1210

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

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $112$3390%20%10th90th$191Professionalmedian $178 · 10th–90th $126$2750%20%10th90th$178$0.2$1.0$5.0$20.0$100.0$500.0

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
Professional
Modifier
Global
Typical Low
$134.90
Median
$186.21
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
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
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$234.42