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Lateral Thoracic Extension for TLSO (Low Profile)

Colorado rates for HCPCS L1210

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

Rates data updated July 2026.

Facilitymedian $269 · 10th–90th $95$4570%10%10th90th$269Professionalmedian $178 · 10th–90th $132$2400%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
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$181.97
Typical High
$281.84
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
$309.03
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$275.42
Typical High
$457.09
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$95.50
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$630.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$741.31
Typical High
$851.14
Select Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$169.82
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$147.91
Typical High
$223.87