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Lateral Thoracic Extension for TLSO (Low Profile)

South Carolina 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?

$170

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $170 for this service. The price depends on where it is billed: about $170 from a physician practice, and about $186 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$170$145 to $224
FacilityA hospital or hospital-owned outpatient department$186$145 to $275

How much rates vary

Facilitymedian $186 · 10th to 90th $145 to $398Professionalmedian $170 · 10th to 90th $141 to $257
$100$200$500facility $186professional $170

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
$144.54
Median
$144.54
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$158.49
Typical High
$257.04
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$269.15
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$190.55
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$338.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$177.83
Medcost
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$234.42
Typical High
$478.63
Medcost
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$95.50
Molina
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$199.53
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$186.21
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$147.91
Typical High
$204.17

Where South Carolina 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.

South Carolina· 33rd of 51

$170

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.