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Anterior Thoracic Extension for TLSO (Low Profile)

Alaska rates for HCPCS L1220

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

Rates data updated July 2026.

How much does Anterior Thoracic Extension for TLSO (Low Profile) cost?

$186

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $186 for this service. The price depends on where it is billed: about $191 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 6 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$191$145 to $372
FacilityA hospital or hospital-owned outpatient department$151$81.28 to $339

How much rates vary

Facilitymedian $151 · 10th to 90th $81 to $372Professionalmedian $191 · 10th to 90th $135 to $525
$100$200$500$1Kfacility $151professional $191

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
$134.90
Median
$151.36
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$446.68
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$204.17
Typical High
$371.54
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$933.25
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$389.05
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$389.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$338.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$186.21
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$141.25
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$954.99

Where Alaska sits

The same service costs 3.6 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.

Alaska· 13th of 51

$186

HI $417DC $115

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.