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Lateral Thoracic Extension for TLSO (Low Profile)

Maryland 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?

$141

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $141 for this service. Most negotiated rates run $120 to $170.

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.

How much rates vary

Facilitymedian $170 · 10th to 90th $110 to $302Professionalmedian $141 · 10th to 90th $120 to $257
$100.0$200.0$500.0$1.0Kfacility $170professional $141

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
$134.90
Typical High
$239.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$147.91
Typical High
$239.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$257.04

Where Maryland sits

The same service costs 4.0 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $141 · 49th of 51
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.