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Lateral Thoracic Extension for TLSO (Low Profile)

New Hampshire 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?

$200

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $302 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$191$170 to $257
FacilityA hospital or hospital-owned outpatient department$302$200 to $324

How much rates vary

Facilitymedian $302 · 10th to 90th $166 to $363Professionalmedian $191 · 10th to 90th $148 to $257
$100$200$500facility $302professional $191

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
$165.96
Median
$165.96
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$363.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$165.96
Typical High
$190.55
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$190.55
Typical High
$257.04
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$426.58

Where New Hampshire 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.

New Hampshire· 15th of 51

$200

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.