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Lateral Thoracic Extension for TLSO (Low Profile)

North Dakota rates for HCPCS L1210

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

Rates data updated October 2026.

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

$363

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $288 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$372$245 to $437
FacilityA hospital or hospital-owned outpatient department$288$288 to $288

How much rates vary

Facilitymedian $288 · 10th to 90th $191 to $851Professionalmedian $372 · 10th to 90th $151 to $447
$100$200$500$1Kfacility $288professional $372

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$288.40
Typical High
$288.40
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$436.52
Typical High
$446.68
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$398.11
Median
$524.81
Typical High
$537.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$338.84
Typical High
$426.58
Medica
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$288.40
Typical High
$1,548.82
Medica
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$162.18
Typical High
$316.23
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$162.18
Typical High
$316.23

Where North Dakota sits

The same service costs 3.5 times more in Hawaii than in Florida. 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.

North Dakota· 5th of 51

$363

HI $479FL $138

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.