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Lateral Thoracic Extension for TLSO (Low Profile)

Mississippi rates for HCPCS L1210

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

Rates data updated July 2026.

Facilitymedian $229 · 10th–90th $162$3980%20%40%10th90th$229Professionalmedian $174 · 10th–90th $132$2750%20%10th90th$174$100.0$200.0$500.0$1.0K

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
$173.78
Median
$173.78
Typical High
$269.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$173.78
Typical High
$275.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
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
$138.04
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$239.88
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$141.25
Typical High
$223.87