go back

Lateral Thoracic Extension for TLSO (Low Profile)

Georgia rates for HCPCS L1210

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

Rates data updated July 2026.

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

$178

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $178 from a physician practice, and about $302 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$178$141 to $245
FacilityA hospital or hospital-owned outpatient department$302$162 to $1,047

How much rates vary

Facilitymedian $302 · 10th to 90th $141 to $1,202Professionalmedian $178 · 10th to 90th $138 to $288
$100$200$500$1Kfacility $302professional $178

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$363.08
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$269.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$269.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$707.95
Typical High
$1,096.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$245.47
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
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
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$288.40

Where Georgia sits

The same service costs 4.0 times more in Hawaii than in Washington, DC. 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.

Georgia· 24th of 51

$178

HI $479DC $120

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.