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Lateral Thoracic Extension for TLSO (Low Profile)

Massachusetts rates for HCPCS L1210

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

Rates data updated July 2026.

Facilitymedian $195 · 10th–90th $129$1,9050%10%20%10th90th$195Professionalmedian $257 · 10th–90th $129$3980%20%40%10th90th$257$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$144.54
Typical High
$407.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$1,905.46
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$398.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$234.42
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$389.05
Health New England
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$1,905.46
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$234.42
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$186.21
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$245.47
Typical High
$275.42