go back

Lateral Thoracic Extension for TLSO (Low Profile)

Rhode Island 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?

$166

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $550 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$166$145 to $174
FacilityA hospital or hospital-owned outpatient department$550$427 to $631

How much rates vary

Facilitymedian $550 · 10th to 90th $398 to $692Professionalmedian $166 · 10th to 90th $126 to $245
$100$200$500facility $550professional $166

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
Professional
Modifier
None
Typical Low
$169.82
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$85.11
Median
$87.10
Typical High
$87.10
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$33.88
Median
$34.67
Typical High
$34.67
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$25.70
Median
$26.30
Typical High
$26.30
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$16.98
Median
$17.38
Typical High
$17.38
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$588.84
Typical High
$691.83
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$165.96
Typical High
$251.19
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
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$165.96
Typical High
$245.47

Where Rhode Island 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.

Rhode Island· 41st of 51

$166

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.