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Lateral Thoracic Extension for TLSO (Low Profile)

Iowa 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?

$186

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $186 from a physician practice, and about $288 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$186$148 to $275
FacilityA hospital or hospital-owned outpatient department$288$186 to $468

How much rates vary

Facilitymedian $288 · 10th to 90th $145 to $832Professionalmedian $186 · 10th to 90th $120 to $363
$100$200$500$1Kfacility $288professional $186

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
$138.04
Median
$204.17
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$186.21
Typical High
$275.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$338.84
Typical High
$426.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$371.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$380.19
Typical High
$1,548.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$489.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$346.74
Typical High
$457.09
Midlands
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$245.47
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$295.12
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$295.12

Where Iowa 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.

Iowa· 19th of 51

$186

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.