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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.

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

$257

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $195 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 9 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$257$145 to $257
FacilityA hospital or hospital-owned outpatient department$195$129 to $398

How much rates vary

Facilitymedian $195 · 10th to 90th $129 to $1,905Professionalmedian $257 · 10th to 90th $129 to $398
$100$200$500$1K$2K$5Kfacility $195professional $257

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
$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

Where Massachusetts 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.

Massachusetts· 8th of 51

$257

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.