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Lateral Thoracic Extension for TLSO (Low Profile)

Kentucky 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?

$158

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $158 for this service. The price depends on where it is billed: about $158 from a physician practice, and about $162 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 6 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$158$145 to $174
FacilityA hospital or hospital-owned outpatient department$162$151 to $316

How much rates vary

Facilitymedian $162 · 10th to 90th $132 to $457Professionalmedian $158 · 10th to 90th $132 to $186
$100$200$500$1Kfacility $162professional $158

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
$151.36
Median
$151.36
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$173.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$302.00
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$173.78
Typical High
$181.97
CareSource
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$512.86
CareSource
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$371.54
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$234.42
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$144.54
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$147.91
Typical High
$223.87

Where Kentucky 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.

Kentucky· 40th of 51

$158

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.