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Lateral Thoracic Extension for TLSO (Low Profile)

Tennessee rates for HCPCS L1210

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

Rates data updated July 2026.

Facilitymedian $234 · 10th–90th $145$1,9050%20%10th90th$234Professionalmedian $145 · 10th–90th $129$2450%50%10th90th$145$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$131.83
Median
$144.54
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$141.25
Typical High
$245.47
BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$218.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$190.55
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,951.21
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$169.82
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$144.54
Typical High
$208.93