go back

Anterior Thoracic Extension for TLSO (Low Profile)

Georgia 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?

$155

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $155 for this service. The price depends on where it is billed: about $155 from a physician practice, and about $309 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$155$123 to $209
FacilityA hospital or hospital-owned outpatient department$309$186 to $501

How much rates vary

Facilitymedian $309 · 10th to 90th $117 to $871Professionalmedian $155 · 10th to 90th $117 to $245
$100$200$500$1Kfacility $309professional $155

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
$117.49
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$141.25
Typical High
$218.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$602.56
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$208.93
Typical High
$338.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
CareSource
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$331.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$257.04
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$125.89
Typical High
$245.47

Where Georgia 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.

Georgia· 23rd of 51

$155

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.