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Lateral Thoracic Extension for TLSO (Low Profile)

Arkansas rates for HCPCS L1210

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

Rates data updated July 2026.

Facilitymedian $380,189 · 10th–90th $162$891,2510%10%20%10th90th$380,189Professionalmedian $158 · 10th–90th $98$1820%20%40%10th90th$158$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
$162.18
Median
$162.18
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$158.49
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$138.04
Typical High
$190.55
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$223.87