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Lateral Thoracic Extension for TLSO (Low Profile)

West Virginia 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?

$145

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $151 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 5 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$145$141 to $151
FacilityA hospital or hospital-owned outpatient department$151$151 to $191

How much rates vary

Facilitymedian $151 · 10th to 90th $151 to $398Professionalmedian $145 · 10th to 90th $120 to $209
$100$200$500$1Kfacility $151professional $145

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$151.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$398.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$457.09
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$1,621.81
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$190.55
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$165.96
Typical High
$245.47

Where West Virginia 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.

West Virginia· 46th of 51

$145

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.