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Anterior Thoracic Extension for TLSO (Low Profile)

Iowa 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?

$166

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $166 for this service. The price depends on where it is billed: about $166 from a physician practice, and about $214 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$166$129 to $234
FacilityA hospital or hospital-owned outpatient department$214$162 to $398

How much rates vary

Facilitymedian $214 · 10th to 90th $129 to $692Professionalmedian $166 · 10th to 90th $115 to $339
$100$200$500$1Kfacility $214professional $166

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
$131.83
Median
$190.55
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$162.18
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$331.13
Typical High
$416.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$346.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$331.13
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$436.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$389.05
Midlands
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Midlands
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$436.52
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$208.93
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$134.90
Typical High
$288.40
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$257.04
Typical High
$257.04

Where Iowa 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.

Iowa· 16th of 51

$166

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.