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Lateral Thoracic Extension for TLSO (Low Profile)

Michigan 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?

$178

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $178 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $661 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 7 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$170$151 to $295
FacilityA hospital or hospital-owned outpatient department$661$398 to $813

How much rates vary

Facilitymedian $661 · 10th to 90th $170 to $891Professionalmedian $170 · 10th to 90th $141 to $295
$100$200$500$1K$2Kfacility $661professional $170

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
$169.82
Median
$660.69
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$165.96
Typical High
$177.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$891.25
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$295.12
Typical High
$309.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$363.08
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$562.34
Typical High
$630.96
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$239.88
Typical High
$363.08
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$245.47
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$239.88
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$223.87

Where Michigan 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.

Michigan· 25th of 51

$178

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.