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Lateral Thoracic Extension for TLSO (Low Profile)

New Mexico 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?

$224

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $191 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$148 to $282
FacilityA hospital or hospital-owned outpatient department$191$95.50 to $209

How much rates vary

Facilitymedian $191 · 10th to 90th $95 to $224Professionalmedian $224 · 10th to 90th $138 to $380
$100$200$500facility $191professional $224

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
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$223.87
Typical High
$223.87
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$234.42
Typical High
$281.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Molina
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$436.52
Typical High
$645.65
Providence
Setting
Facility
Modifier
None
Typical Low
$95.50
Median
$190.55
Typical High
$223.87
Providence
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$309.03
United
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$147.91
Typical High
$223.87

Where New Mexico 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.

New Mexico· 20th of 51

$224

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.