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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 July 2026.

Facilitymedian $155 · 10th–90th $126$5620%50%10th90th$155Professionalmedian $155 · 10th–90th $123$2570%20%40%10th90th$155$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$125.89
Median
$141.25
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$154.88
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$208.93
Typical High
$269.15
AvMed
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
AvMed
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$281.84
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$181.97
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$48.98
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$223.87
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$302.00