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Lateral Thoracic Extension for TLSO (Low Profile)

Nevada rates for HCPCS L1210

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

Rates data updated July 2026.

Facilitymedian $135 · 10th–90th $135$3980%50%90th$135Professionalmedian $151 · 10th–90th $120$5250%10%10th90th$151$5.0$20.0$100.0$500.0

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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$134.90
Typical High
$1,698.24
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$257.04
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$398.11
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$363.08
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$194.98
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$436.52