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Lateral Thoracic Extension for TLSO (Low Profile)

Oregon 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?

$234

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $288 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 8 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$219$162 to $288
FacilityA hospital or hospital-owned outpatient department$288$234 to $295

How much rates vary

Facilitymedian $288 · 10th to 90th $234 to $331Professionalmedian $219 · 10th to 90th $132 to $331
$100$200$500$1Kfacility $288professional $219

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
Professional
Modifier
Global
Typical Low
$120.23
Median
$177.83
Typical High
$204.17
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
$138.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$645.65
Typical High
$794.33
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$223.87
Typical High
$309.03
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$239.88
Typical High
$331.13
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$288.40
Typical High
$309.03
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$251.19
Typical High
$398.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$257.04
Typical High
$309.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$1,148.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$331.13
Typical High
$331.13
United
Setting
Facility
Modifier
Global
Typical Low
$0.23
Median
$162.18
Typical High
$478.63
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$281.84

Where Oregon 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.

Oregon· 10th of 51

$234

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.