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Lateral Thoracic Extension for TLSO (Low Profile)

Idaho 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?

$229

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $282 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 8 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$209$148 to $302
FacilityA hospital or hospital-owned outpatient department$282$214 to $302

How much rates vary

Facilitymedian $282 · 10th to 90th $158 to $398Professionalmedian $209 · 10th to 90th $120 to $331
$100$200$500facility $282professional $209

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
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$288.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$281.84
Typical High
$478.63
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$263.03
Typical High
$371.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$288.40
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$257.04
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$288.40
Typical High
$288.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$331.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$309.03
Typical High
$457.09
Select Health
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$0.23
Median
$169.82
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$147.91
Typical High
$208.93

Where Idaho 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.

Idaho· 11th of 51

$229

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.