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Lateral Thoracic Extension for TLSO (Low Profile)

Florida rates for HCPCS L1210

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

Rates data updated October 2026.

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

$138

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $138 for this service. The price depends on where it is billed: about $138 from a physician practice, and about $302 from a hospital or other facility.

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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$138$126 to $158
FacilityA hospital or hospital-owned outpatient department$302$191 to $562

How much rates vary

Facilitymedian $302 · 10th to 90th $191 to $562Professionalmedian $138 · 10th to 90th $49 to $302
$50$100$200$500facility $302professional $138

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$134.90
Typical High
$169.82
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$67.61
Typical High
$85.11
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$24.55
Median
$26.92
Typical High
$33.88
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.20
Median
$20.42
Typical High
$25.70
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.30
Median
$13.49
Typical High
$16.98
Ambetter
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$269.15
Typical High
$269.15
AvMed
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
AvMed
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$281.84
Typical High
$302.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Florida Blue
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$302.00
Typical High
$302.00
Molina
Setting
Professional
Modifier
None
Typical Low
$36.31
Median
$48.98
Typical High
$53.70
United
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$194.98
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$147.91
Typical High
$199.53
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$302.00

Where Florida sits

The same service costs 3.5 times more in Hawaii than in Florida. 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.

Florida· 51st of 51

$138

HI $479FL $138

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.